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Individual

MICHELLE VAN LOMMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Mailing address
2408 SCHINDLER DR, ABERDEEN, NJ 07747-3756
(626) 506-1265

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/26/2021
Last updated
10/26/2021
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