Individual
MIKKO ANGELO TESALONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 N STATE RT 17 STE 105, PARAMUS, NJ 07652-2648
(201) 612-4737
(201) 689-6009
Mailing address
2319 3RD AVE APT 1023, NEW YORK, NY 10035-1879
(516) 697-7863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12736500
NJ
Other
Enumeration date
03/29/2022
Last updated
12/03/2025
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