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Organization
NANCY J MOONTASRI MD LLC
Active
Organization
NANCY J MOONTASRI MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY J MOONTASRI MD (SOLE MEMBER/OWNER)
(551) 278-9776
Entity
Organization
Contact information
Practice address
106 PROSPECT ST STE 2, RIDGEWOOD, NJ 07450-4433
(551) 278-9776
(551) 300-1306
Mailing address
1 MARS CT STE 1, BOONTON TWP, NJ 07005-2422
(551) 278-9776
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
Other
Enumeration date
09/28/2026
Last updated
10/05/2026
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