Individual
ANNIE M MULVANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
347 MOUNT PLEASANT AVE, SUITE 103, WEST ORANGE, NJ 07052
(973) 571-2121
(973) 498-0535
Mailing address
347 MOUNT PLEASANT AVE, SUITE 103, WEST ORANGE, NJ 07052
(973) 571-2121
(973) 498-0535
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA05757000
NJ
363A00000X
Physician Assistant
Primary
25MA05757000
—
363A00000X
Physician Assistant
25MP00223900
NJ
Other
Enumeration date
09/01/2009
Last updated
04/06/2026
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