Individual
MELISSA ANN SMIRNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
347 MOUNT PLEASANT AVE, UNIT 103, WEST ORANGE, NJ 07052
(973) 571-2121
Mailing address
347 MOUNT PLEASANT AVE, SUITE 205, WEST ORANGE, NJ 07052
(973) 571-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00296000
NJ
Other
Enumeration date
10/11/2012
Last updated
03/24/2016
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