Organization
LORELLE N MICHELSON, MD. F.A.C.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE N MICHELSON MD (OWNER)
(201) 871-9808
Entity
Organization
Contact information
Practice address
475 GRAND AVE, ENGLEWOOD, NJ 07631-4965
(201) 871-9808
(201) 871-9658
Mailing address
475 GRAND AVE, ENGLEWOOD, NJ 07631-4965
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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