Individual
MARISSA LAUREN DUNDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
800 AVENUE C, BAYONNE, NJ 07002-2821
(201) 240-1057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1209741
NJ
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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