# MALO CLINIC ADVANCED REHABILITATION,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164758421
- **Authorized official:** DR. STEVEN MOSS DMD (PARTNER)
- **Authorized official phone:** (201) 528-2297

## Contact information

- **Practice address:** 201 ROUTE 17, 11TH FLOOR, RUTHERFORD, NJ 07070-2574
- **Practice address phone:** (201) 528-2297
- **Mailing address:** 201 ROUTE 17, 11TH FLOOR, RUTHERFORD, NJ 07070-2574
- **Mailing address phone:** (201) 528-2297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2009
- **Last updated:** 10/21/2009