Annie M Mulvaney, PHYSICIAN ASSISTANT

NPI #1679706139 in West Orange, New Jersey

Provider Information

NPI Number: 1679706139
Entity Type: Individual
Name: Annie M Mulvaney, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Sep 1, 2009
Last Updated: Jun 3, 2014

Practice Location

Address: 347 MOUNT PLEASANT AVE
Address 2: SUITE 103
City: West Orange
State: New Jersey
ZIP Code: 07052
Phone: (973) 571-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Dermatology	207N00000X	Primary

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