Individual
KIMBERLEY D MICHELSON-BANDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
95 MADISON AVE SUITE 201, MID-ATLANTIC SURGICAL ASSOCIATES, MORRISTOWN, NJ 07960
(973) 971-7300
(973) 984-7019
Mailing address
100 MADISON AVE, MID-ATLANTIC SURGICAL ASSOCIATES, MORRISTOWN, NJ 07960
(973) 971-7300
(973) 984-7019
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MP165
NJ
Other
Enumeration date
08/16/2006
Last updated
03/12/2013
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