# MOSS UROLOGIC SURGERY, LLC

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

## Provider details

- **NPI number:** 1225302466
- **Authorized official:** VANCE JOSHAUN MOSS MD (OWNER)
- **Authorized official phone:** (732) 886-2252

## Contact information

- **Practice address:** 2356 ROUTE 9 SOUTH, SUITE B6, HOWELL, NJ 07731
- **Practice address phone:** (732) 886-2252
- **Practice address fax:** (732) 886-2260
- **Mailing address:** 2356 ROUTE 9 STE B6, HOWELL, NJ 07731-4017
- **Mailing address phone:** (732) 886-2252
- **Mailing address fax:** (732) 886-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2012
- **Last updated:** 08/15/2019