Individual
MRS. MARY ANN E MICHELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
360 ESSEX STREET, SUITE 302, HACKENSACK, NJ 07601
(551) 996-2065
(551) 996-2169
Mailing address
360 ESSEX STREET, SUITE 302, HACKENSACK, NJ 07601
(551) 996-2065
(551) 996-2169
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA03935600
NJ
Other
Enumeration date
03/17/2006
Last updated
10/06/2017
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