Individual
MICHELLE A MINT-SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
102 JAMES ST., SUITE 202, EDISON, NJ 08820-3945
(732) 548-5541
(732) 548-2610
Mailing address
109 OSCEOLA AVE, MIDDLESEX, NJ 08846-1807
(732) 667-7055
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00138600
NJ
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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