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Individual

MR. JOHN F MESSINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
540 LAFAYETTE RD, SPARTA, NJ 07871-3497
(973) 300-1553
Mailing address
22 MARTINGALE DR, SUSSEX, NJ 07461-2859
(718) 490-0037

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006685
NY
363AS0400X
Surgical Physician Assistant
Primary
MP00179200
NJ

Other

Enumeration date
08/17/2006
Last updated
07/22/2008
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