Individual
MICHELE HANNAH NISNEVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(173) 282-8300
Mailing address
865 MARIPOSA CT, MORGANVILLE, NJ 07751-1760
(908) 433-8465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00861100
NJ
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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