Individual
DR. JENNINE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
185 S ORANGE AVE, MSB I-524, NEWARK, NJ 07101-1709
(973) 972-4100
Mailing address
185 S ORANGE AVE, MSB I-524, NEWARK, NJ 07103-2757
(973) 972-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2558021
NY
207RN0300X
Nephrology Physician
Primary
25MB08719700
NJ
Other
Enumeration date
02/10/2010
Last updated
11/28/2011
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