# THE MOSS & GEUDER SURGICAL GROUP, PA

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

## Provider details

- **NPI number:** 1336294594
- **Authorized official:** CHARLES M MOSS MD (PRESIDENT)
- **Authorized official phone:** (201) 488-2220

## Contact information

- **Practice address:** 20 PROSPECT AVE, SUITE 707, HACKENSACK, NJ 07601-1997
- **Practice address phone:** (201) 488-2220
- **Practice address fax:** (201) 343-9106
- **Mailing address:** 20 PROSPECT AVE, SUITE 707, HACKENSACK, NJ 07601-1997
- **Mailing address phone:** (201) 488-2220
- **Mailing address fax:** (201) 343-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 03/21/2008