Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARISA H MCKIBBAN, P.A.
Active Sole ProprietorPhysician Assistant · EAST ORANGE, NJ
Registration Details
- NPI Number
- 1174607600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2006 (19.49101460783 yrs)
- Last Updated
- Nov 1, 2011
- License
-
25MP00167000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 CENTRAL AVEEAST ORANGE, NJ, 070182819Browse 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.