Organization
MVLD CONSULTING LLC
Active
Other names
MY NJ TESTING
Organization subpart
No
Provider details
NPI number
Authorized official
MICCAL SCOTTLYEW NP (NURSE PRACTITIONER)
(908) 403-5703
Entity
Organization
Contact information
Practice address
113 ELLIOTT PL, SOUTH PLAINFIELD, NJ 07080-1909
(646) 535-6440
Mailing address
113 ELLIOTT PL, SOUTH PLAINFIELD, NJ 07080-1909
(908) 403-5703
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
03/03/2023
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