Individual
BREONA ALEXIS MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
675 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-4445
Mailing address
304 S 10TH AVE APT C, HIGHLAND PARK, NJ 08904-3410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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