Individual
MELISSA AMSELLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
780 CEDAR LN, TEANECK, NJ 07666-1706
(201) 836-7664
(201) 836-5710
Mailing address
615 MCCARTHY DR, NEW MILFORD, NJ 07646-1028
(646) 729-8712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00163200
NJ
Other
Enumeration date
08/31/2006
Last updated
01/20/2026
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