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Search › New Jersey › Physician Assistant

Mia Carlson, MMSPA

NPI 1639970080 · on the registry since 2025

Practice

Address
300 Grand Ave Ste 201
Englewood, NJ 07631
Phone
(201) 608-5656
Fax
(201) 608-5650
Organisation at this address
Mdstyle
Premier Endodontics
Bergen Kidney Center Pc
Englewood Dermatology Center
Englewood Dermatology Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey