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

ANNIE M MULVANEY, PHYSICIAN ASSISTANT

Active Sole Proprietor

ANNIE M MULVANEY, PHYSICIAN ASSISTANT is a Dermatology healthcare provider located in WEST ORANGE, New Jersey. NPI 1679706139 is currently active in the NPPES registry. Verify at CMS.

Dermatology · WEST ORANGE, NJ

Registration Details

NPI Number: 1679706139
Provider Type: Individual
Gender: Female
NPI Issued: Sep 1, 2009 (16.939493871731 yrs)
Last Updated: Jun 3, 2014
Licenses: 25MP00223900 (NJ)

25MA05757000

25MA05757000 (NJ)
Sole Proprietor: Yes

Practice Information

Address: 347 MOUNT PLEASANT AVE

SUITE 103

WEST ORANGE, NJ, 07052
Browse NJ providers · Browse ZIP 07052
Phone: 9735712121
Fax: 9734980535
Primary Specialty: Dermatology
207N00000X
Additional Specialty: Physician Assistant
Additional Specialty: Dermatology

Other Dermatology Providers in WEST ORANGE, NJ

Name	Credential	NPI
DR. ADRIAN L CONNOLLY III	M.D.	1922001650
DR. LEWIS PETER STOLMAN	MD	1396749321
MARC ABBATE	MD	1316911845
STEPHANIE ANN BADALAMENTI	MD, PHD	1730273368
DR. ROGER H. BRODKIN	MD	1982737144
DR. DAVID R BONNEY	D.O.	1548476385

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.