Organization
NEXT BEST LEVEL
Active
Parent organization
YOUSEF MOUSSA
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUSEF MOUSSA
Authorized official
YOUSEF MOUSSA (DENTIST)
(973) 338-9191
Entity
Organization
Contact information
Practice address
1018 BROAD ST, BLOOMFIELD, NJ 07003-2884
(973) 338-9191
(973) 338-1514
Mailing address
1018 BROAD ST, BLOOMFIELD, NJ 07003-2884
(973) 338-9191
(973) 338-1514
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02294800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588703052
NPI
NJ
Enumeration date
04/22/2014
Last updated
04/22/2014
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