Individual
MRS. JACQUELINE MILICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
90 BERGEN ST, UMDNJ, NEWARK, NJ 07103-2425
(973) 972-7044
Mailing address
40 GRAY ST, MONTCLAIR, NJ 07042-5026
(973) 233-1570
(907) 392-7108
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00110600
NJ
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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