Individual
MISS MICHELLE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
223 N VAN DIEN AVE DEPT OF, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
Mailing address
223 N VAN DIEN AVE DEPT OF, RIDGEWOOD, NJ 07450-2726
(610) 996-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016570
NY
Other
Enumeration date
06/13/2013
Last updated
12/17/2020
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