| Doctor Name: | MR. MICHAEL PASQUALE |
| NPI Number: | 1013157791 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, RN, APN-C |
| License Number: | 26NJ00185800 |
| Business Practice Address: | 297 Lafayette Ave Hawthorne, NJ - 075061919 |
| Business Phone Number: | 2016897973 |
| Business Fax Number: | 2016897983 |
| Mailing Address: | 14 Fitting Pl, NUTLEY |
| State: | NJ |
| Postal Code: | 071101218 |
| Phone Number: | 9736613677 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2009 |
| NPI Last Update Date: | 04/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00185800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |