Individual
MS. MICHELLE LYNNE MCWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 ABEEL STREET, NEW BRUNSWICK, NJ 08901
(732) 745-9800
(732) 745-9107
Mailing address
135 BRITTANY CT, CLIFTON, NJ 07013-2674
(973) 837-8814
(732) 745-9107
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
NJ MP504
NJ
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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