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Organization
STAR PODIATRY PC
Active
Organization
STAR PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOHARAN DMP (PODIATRIST)
(856) 521-4132
Entity
Organization
Contact information
Practice address
119 E LAUREL RD, STRATFORD, NJ 08084-1324
(856) 521-4132
Mailing address
155 CROSS SLOPE CT, MANALAPAN, NJ 07726-5412
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00312200
NJ
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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