Individual
MELISSA K MUTHUSAMMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
152 VREELAND RD, WEST MILFORD, NJ 07480-2937
(973) 567-9031
Mailing address
152 VREELAND RD, WEST MILFORD, NJ 07480-2937
(973) 567-9031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01386000
NJ
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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