Individual
ANN MARY MICKEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
35 COLUMBUS AVE, LITTLE FERRY, NJ 07643
(201) 968-6192
Mailing address
35 COLUMBUS AVE, LITTLE FERRY, NJ 07643-2012
(201) 968-6192
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006817
NY
Other
Enumeration date
06/27/2013
Last updated
05/15/2018
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