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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARISA H MCKIBBAN, P.A.

Active Sole Proprietor

MS. MARISA H MCKIBBAN, P.A. is a Physician Assistant healthcare provider located in EAST ORANGE, New Jersey. NPI 1174607600 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EAST ORANGE, NJ

Registration Details

NPI Number
1174607600
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2006 (19.661015924958 yrs)
Last Updated
Nov 1, 2011
License
25MP00167000 (NJ)
Sole Proprietor
Yes

Practice Information

Address
300 CENTRAL AVE
EAST ORANGE, NJ, 070182819
Browse NJ providers · Browse ZIP 07018
Phone
9734703000
Fax
9734703506
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in EAST ORANGE, NJ

Name Credential NPI
MRS. HINAKUMARI DAVID REY PA-C 1992762256
MR. MAX AUERBACH PA 1508870924
MR. CRAIG A. BROWN RPA-C 1477669182
MS. HAPPINESS ANWULI DIRU PA 1609008168
ALICJA ROGACKI PA-C 1427392125
MR. ERIK PETER HABURA PA-C 1104259373
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.