Provider Demographics
NPI:1811624612
Name:VERILE, MICHAEL PASQUALE (PA- C)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PASQUALE
Last Name:VERILE
Suffix:
Gender:M
Credentials:PA- C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 DUQUESNE BLVD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-5048
Mailing Address - Country:US
Mailing Address - Phone:732-451-1126
Mailing Address - Fax:
Practice Address - Street 1:574 DUQUESNE BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-5048
Practice Address - Country:US
Practice Address - Phone:732-451-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program