Individual
MISS MICHELLE INGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 VALLEY RD, MONTCLAIR, NJ 07042-2321
(201) 490-4333
Mailing address
30 FOX RUN, NORTH CALDWELL, NJ 07006-4172
(973) 747-2548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NJ
2255A2300X
Athletic Trainer
Primary
—
—
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
02/15/2019
Last updated
06/12/2026
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