Individual
MIKAELA MARIE CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 WHITE HORSE PIKE STE D4, ABSECON, NJ 08201-1462
(609) 272-0506
(609) 272-0607
Mailing address
707 WHITE HORSE PIKE STE D4, ABSECON, NJ 08201-1462
(609) 272-0506
(609) 272-0607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00588900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270482
—
NJ
Enumeration date
11/04/2020
Last updated
11/04/2020
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