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Individual

DR. JOSEPH MIESSAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMSC PA-C

Contact information

Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 748-7089
Mailing address
586 N ATLANTIC AVE, COLLINGSWOOD, NJ 08108-3424

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00315600
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00315600
NJ
363AS0400X
Surgical Physician Assistant
MA055122
PA

Other

Enumeration date
09/27/2011
Last updated
01/31/2024
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