# MORAL SPORTS MEDICINE & SURGERY LLC

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

## Provider details

- **NPI number:** 1518777143
- **Authorized official:** DR. MUHAMMAD MORAL MD (CEO)
- **Authorized official phone:** (973) 200-3964

## Contact information

- **Practice address:** 100 PARK AVE PH 2F, FORT LEE, NJ 07024-3806
- **Practice address phone:** (973) 200-3964
- **Mailing address:** 100 PARK AVE PH 2F, FORT LEE, NJ 07024-3806
- **Mailing address phone:** (973) 200-3964

## Taxonomy

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

## Other

- **Enumeration date:** 01/07/2025
- **Last updated:** 01/07/2025