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Individual

DR. JAMES G MICELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19 BRADHURST AVE STE 3060N, HAWTHORNE, NY 10532-2180
(914) 493-7000
(914) 372-7884
Mailing address
19 BRADHURST AVE STE 3060N, HAWTHORNE, NY 10532-2180
(914) 493-7000
(914) 372-7884

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09841600
NJ
207RR0500X
Rheumatology Physician
25MA09841600
NJ
207RR0500X
Rheumatology Physician
Primary
269251
NY

Other

Enumeration date
04/07/2010
Last updated
01/25/2023
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