Individual provider · Type 1 NPI

Mia Leigh Carlson, MMSPA

Physician Assistant · Englewood, NJ

NPI number 1639970080 Active

Practice location

300 Grand Ave Ste 201
Englewood, NJ 07631-6300

Fax (201) 608-5650

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639970080

Mia Leigh Carlson, MMSPA's National Provider Identifier is 1639970080, issued on Mar 21, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Englewood, NJ. The record was last updated on Jun 6, 2025.