Michelle Mac
NPI #1013755792 in Kearny, New Jersey
Provider Information
- NPI Number
- 1013755792
- Entity Type
- Individual
- Name
- Michelle Mac
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Jul 17, 2024
- Last Updated
- Jan 15, 2026
Practice Location
- Address
- 512 KEARNY AVE STE B
- City
- Kearny
- State
- New Jersey
- ZIP Code
- 07032-2703
- Phone
- (201) 998-7474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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