Individual
CHARLES M MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 WILLIAMSON ST, SUITE 104, ELIZABETH, NJ 07202-3674
(908) 994-5480
(908) 994-8802
Mailing address
240 WILLIAMSON ST, SUITE 104, ELIZABETH, NJ 07202-3674
(908) 994-5480
(908) 994-8802
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA29872
NJ
Other
Enumeration date
01/24/2007
Last updated
04/18/2013
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