Individual
DR. MICHAEL CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
395 GRAND ST, JERSEY CITY, NJ 07302-4238
(201) 915-2511
Mailing address
135 W 29TH ST STE 204, BAYONNE, NJ 07002-1837
(201) 858-7129
(201) 858-7129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA 05834400
NJ
2084P0800X
Psychiatry Physician
25MA05834400
NJ
Other
Enumeration date
09/25/2006
Last updated
05/17/2023
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