Michele Gilliland
Michele Gilliland is a Physician Assistant in Newark, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2007
Practice location Address checks out
140 Bergen St # StreetdNewark, NJ 07103-2425
Phone: (973) 972-2076
Fax: (972) 972-1080
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 25MP00089400 (NJ) |
|---|
Record details
| NPI number | 1629286638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2007 |
| Last updated in NPPES | February 2, 2021 |
| Certification date | February 2, 2021 |
| Mailing address | 140 Bergen St # Streetd, Newark, NJ 07103-2425 |
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