Individual
MICHELLE ROSE MADDATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
770 MORRIS TPKE STE 111, SHORT HILLS, NJ 07078-2699
(908) 275-5430
Mailing address
742 DURHAM TER, BRICK, NJ 08724-1064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
02/25/2024
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