IndividualActive
Alisa Cullen, PA-C
NPI 1003954074 · Medical Physician Assistant · West Orange, NJ
Provider details
- NPI number
- 1003954074
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00091800 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
745 Northfield Ave
Suite 4
West Orange, NJ 07052-1144
Phone: (973) 736-0041
Fax: (973) 736-0044
Approximate (ZIP-level) locationGet directions
Mailing address
745 Northfield Ave
West Orange, NJ 07052-1144
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2013-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.