Individual
MICHELLE CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 SHORE RD, SUITE C, SOMERS POINT, NJ 08244-2631
(609) 926-9400
(609) 926-4177
Mailing address
200 TRYENS DR, MAYS LANDING, NJ 08330-4912
(551) 208-1778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA008278200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144916
—
NJ
Enumeration date
05/07/2007
Last updated
08/03/2012
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