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Individual

DR. MELISSA ELIZABETH MANISCALCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7772
Mailing address
336 DOGWOOD DR, UNION, NJ 07083-7817
(908) 851-8669

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00791000
NJ
363L00000X
Nurse Practitioner
26NO12001900
NJ
363LF0000X
Family Nurse Practitioner
Primary
342420
NY

Other

Enumeration date
12/05/2017
Last updated
09/22/2021
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