Individual
MELISSA MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
752 KEARNY AVE, KEARNY, NJ 07032-3130
(201) 997-8008
Mailing address
51 GLENDALE AVE, LIVINGSTON, NJ 07039-2309
(201) 978-9309
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP0005800
NJ
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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