Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA11039600 | NJ |
NPI | 1063945350 |
---|---|
Provider Name | Melissa Pritchard Mchale |
First Address | Jersey City, NJ 07302-0005 |
Second Address | Jersey City, NJ 07302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 29/10/2021 |