Individual
ASHLEN MICHAL KAKOLEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19-21 FAIR LAWN AVE # 725, FAIR LAWN, NJ 07410-2331
(908) 273-4300
Mailing address
920 W SADDLE RIVER RD, HO HO KUS, NJ 07423-1208
(703) 919-4209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26NJ00777200
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00777200
NJ
Other
Enumeration date
11/07/2017
Last updated
03/17/2018
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