Individual
MIKAYLA BARBAROSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
101 OLD SHORT HILLS RD STE 510, WEST ORANGE, NJ 07052-1023
(973) 736-5907
Mailing address
101 OLD SHORT HILLS RD STE 510, WEST ORANGE, NJ 07052-1023
(973) 736-5907
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
26NJ15098200
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15098200
NJ
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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