Most Relevant Information
Provider Data
| NPI Number: | 1003372988 |
| Provider Name: | MICHELLE INGA |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/15/2019 |
| Last Updated: | 02/15/2019 |
Provider Practice Location
30 FOX RUN
NORTH CALDWELL
NJ
070064172
Practice Location Phone/Fax
| Phone: | 9737472548 |
| Fax: |
Provider Mailing Location
30 FOX RUN
NORTH CALDWELL
NJ
070064172
Provider Mailing Phone/Fax
| Phone: | 9737472548 |
| Fax: |