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NPI Code Detail

MEDICARE: MRS. MICHELLE L. MUNYON PA-C

MEDICARE: MRS. MICHELLE L. MUNYON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00217600NJ

General Provider Information

NPI Number : 1659507762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE L. MUNYON PA-C
Provider Business Mailing Address
First Line : 301 CENTRAL AVE STE D
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-8347
Country : US
Telephone Number : 609-926-5000
Fax Number :
Provider Business Practice Location Address
First Line : 301 CENTRAL AVE STE D
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-8347
Country : US
Telephone Number : 609-926-5000
Fax Number : 609-926-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2009
Last Update Date : 10/10/2025

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Directions to “ MRS. MICHELLE L. MUNYON PA-C” Practice Location

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