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Individual
DR. JAVIER MORALES
Active
Individual
DR. JAVIER MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097AU1
BLUE CROSS
NY
01
—
113633426
TAX ID
NY
01
—
138681
HIP
NY
Enumeration date
06/07/2006
Last updated
02/13/2017
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