Individual
MICHELLE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 904-2325
(201) 343-7410
Mailing address
25 PROSPECT AVENUE, HACKENSACK, NJ 07601
(201) 487-4600
(201) 343-7410
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00287400
NJ
Other
Enumeration date
09/18/2012
Last updated
04/21/2021
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