Provider Demographics
NPI:1881323046
Name:EDGAR, MELISSA LYNN (PA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:LYNN
Last Name:EDGAR
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:42 HUTCHINSON DR
Mailing Address - Street 2:
Mailing Address - City:PORT MONMOUTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07758-1049
Mailing Address - Country:US
Mailing Address - Phone:732-766-2212
Mailing Address - Fax:
Practice Address - Street 1:1 ROBERT WOOD JOHNSON PL
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1928
Practice Address - Country:US
Practice Address - Phone:732-828-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-05
Last Update Date:2022-06-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical