Provider Demographics
NPI:1659428415
Name:MESSINA, MARCY JEAN (DVM)
Entity Type:Individual
Prefix:DR
First Name:MARCY
Middle Name:JEAN
Last Name:MESSINA
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-1736
Mailing Address - Country:US
Mailing Address - Phone:973-868-4965
Mailing Address - Fax:
Practice Address - Street 1:262 MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2210
Practice Address - Country:US
Practice Address - Phone:973-377-1515
Practice Address - Fax:973-377-5061
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJVI04124174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian