Jacqueline Milici PA-C

NPI 1316157050 - Physician Assistant - 363AS0400X

NPI Details
NPI 1316157050
Gender Female
Enumeration Date 05/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
90 BERGEN ST
UMDNJ
NEWARK NJ, 07103-2425, US
Phone (973) 972-7044
Fax
Business Location
40 GRAY ST
MONTCLAIR NJ, 07042-5026, US
Phone (973) 233-1570
Fax (907) 392-7108
Toxanomy
Taxonomy Code 363AS0400X
License State New Jersey
License Number 25MP00110600
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According to our database, Mrs. Jacqueline Milici PA-C NPI is 1316157050, taxonomy code is 363AS0400X and license number is 25MP00110600, license state is located at New Jersey. Jacqueline Milici PA-C physically located at 90 Bergen St, Newark NJ, 07103-2425. NPI Number Jacqueline Milici PA-C has the Individual type.

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1316157050 NPI number is provided on an as is basis without warranty of any kind. 1316157050 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Milici PA-C are for informational purposes only.