Individual
MATTHEW JOSEPH MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 NEW YORK AVE, UNION CITY, NJ 07087-4431
(201) 608-3124
Mailing address
5711 JEFFERSON ST APT 210, WEST NEW YORK, NJ 07093-1118
(201) 275-3079
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
Primary
18KT01491500
NJ
Other
Enumeration date
08/26/2019
Last updated
08/21/2024
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