IndividualActive
Anissa Braddock, PA-C
NPI 1356502736 · Surgical Physician Assistant · Pennington, NJ
Provider details
- NPI number
- 1356502736
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00149200 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2 Capital Way Ste 356
Pennington, NJ 08534
Phone: (609) 537-7277
Fax: (609) 537-6002
Approximate (ZIP-level) locationGet directions
Mailing address
2 Capital Way Ste 456
Pennington, NJ 08534-2521
Additional practice locations (2)
- 1600 Haddon AveCamden, NJ 08103-3101Phone: (856) 668-8818
- 1 Brace Rd Ste HCherry Hill, NJ 08034-2600Phone: (856) 470-9029Fax: (856) 428-4053
Registry dates
- Enumerated
- 2008-06-19
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.