Individual
MICHAEL FLAMISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 267-0700
Mailing address
PO BOX 95000-2130, PHILADELPHIA, PA 19195-0001
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO11609300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NO11609300
STATE LICENSE
NJ
Enumeration date
04/02/2009
Last updated
10/05/2020
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