Individual
NICHOLAS JOHN MAKOSIEJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 GALLOPING HILL RD STE 108, UNION, NJ 07083-7989
(908) 522-3770
Mailing address
12 KENNEDY DR, CLARK, NJ 07066-2908
(908) 956-1359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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