Individual
MS. MELISSA STEPHANIE VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
591 FRANKLIN AVE, NUTLEY, NJ 07110-1284
(973) 916-0002
Mailing address
14 FAIRWAY CT, SCOTCH PLAINS, NJ 07076-3001
(908) 884-9108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00703400
NJ
Other
Enumeration date
06/09/2022
Last updated
07/25/2022
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