MS. MARISA MCKIBBAN, P.A.
Physician Assistant
Active
Individual
NPI: 1174607600
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 25MP00167000 (NJ) |
Frequently Asked Questions
NPI 1174607600 is the National Provider Identifier for MS. MARISA MCKIBBAN, P.A., a Physician Assistant provider located in East Orange, NJ. This NPI was enumerated on October 24, 2006.
MS. MARISA MCKIBBAN, P.A. practices at 300 CENTRAL AVE, East Orange, NJ 07018.
Quick Facts
- NPI
- 1174607600
- Type
- Individual
- Enumerated
- Oct 24, 2006
- Last Updated
- Nov 1, 2011
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