Individual
MICHELLE A TOMLINSON-PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
754 STATE ROUTE 18, SUITE 107, EAST BRUNSWICK, NJ 08816-4909
(732) 257-1171
(732) 257-2618
Mailing address
754 HIGHWAY 18, SUITE 107, EAST BRUNSWICK, NJ 08816-4909
(732) 257-1171
(732) 257-2618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB05206100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225103
—
NJ
Enumeration date
04/11/2006
Last updated
08/27/2007
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