Individual
MRS. MICHELLE HAKAKIAN REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 MADISON AVE FL 2, MORRISTOWN, NJ 07960-7337
(973) 971-5700
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00654500
NJ
363AS0400X
Surgical Physician Assistant
016787
NY
Other
Enumeration date
08/01/2013
Last updated
06/16/2022
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