Individual
MELLICA ASAMOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
389 SANFORD AVE, HILLSIDE, NJ 07205-2724
(347) 777-8042
Mailing address
389 SANFORD AVE, HILLSIDE, NJ 07205-2724
(347) 777-8042
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NR25371800
NJ
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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