Individual
JAROSLAW MOCZERNIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 CRAIG RD, STE 108, MANALAPAN, NJ 07726-8731
(732) 462-2162
(732) 462-2137
Mailing address
100 CRAIG RD, STE 108, MANALAPAN, NJ 07726-8731
(732) 462-2162
(732) 462-2137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01323400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166783
MEDICARE PTAN
NJ
Enumeration date
08/18/2009
Last updated
01/27/2021
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