Individual
MELISSA TAVARES ENTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
82 E ALLENDALE RD STE 7A&7B, SADDLE RIVER, NJ 07458-3057
(201) 236-8282
Mailing address
82 E ALLENDALE RD STE 7A&7B, SADDLE RIVER, NJ 07458-3057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00404200
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/25/2016
Last updated
11/09/2022
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