Individual
MRS. MICHELA THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
503 ROUTE 202, RARITAN, NJ 08869-1574
(908) 557-9802
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00239500
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00239500
NJ
Other
Enumeration date
08/24/2010
Last updated
03/08/2023
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