Individual provider · Type 1 NPI
Michela Thorn, PA-C
Medical Physician Assistant · Raritan, NJ
NPI number
1790091015
Active
Practice location
503 Route 202
Raritan, NJ 08869-1574
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 25MP00239500 (NJ) |
| Medical Physician Assistant Primary | 363AM0700X | 25MP00239500 (NJ) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1790091015
Michela Thorn, PA-C's National Provider Identifier is 1790091015, issued on Aug 24, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raritan, NJ. The record was last updated on Mar 8, 2023.