Individual
MARISSA MARTINA BREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
Mailing address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
02/24/2019
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