Individual
NICOLE CAROLINE MACHAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
185 S ORANGE AVE, MSB E-506, NEWARK, NJ 07103-2757
(201) 403-3812
Mailing address
185 S ORANGE AVE, MSB E-506, NEWARK, NJ 07103-2757
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
308607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06582163
—
NY
Enumeration date
04/26/2017
Last updated
10/28/2021
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