Individual
ALISA G. CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
745 NORTHFIELD AVE, SUITE 4, WEST ORANGE, NJ 07052-1144
(973) 736-0041
(973) 736-0044
Mailing address
745 NORTHFIELD AVE, SUITE 4, WEST ORANGE, NJ 07052-1144
(973) 736-0041
(973) 736-0044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00091800
NJ
Other
Enumeration date
02/02/2007
Last updated
12/03/2013
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