MARISA H MCKIBBAN

EAST ORANGE, NJ
NPI1174607600
Former NameMARISA GATTA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00167000)
Enumeration Date2006-10-24
Last Update Date2011-11-01
Business Address
Ms. MARISA H MCKIBBAN P.A.
300 CENTRAL AVE
EAST ORANGE, NJ 07018-2819
Phone number: 973-470-3000
Mailing Address
Ms. MARISA H MCKIBBAN P.A.
104 SOUTH AVE W
CRANFORD, NJ 07016-2652
Phone number: 609-320-1302
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