Individual
DR. JOHN A MOSOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
810 ABBOTT BLVD, SUITE G-1, FORT LEE, NJ 07024-4151
(201) 224-0255
(201) 224-0395
Mailing address
810 ABBOTT BLVD, SUITE G-1, FORT LEE, NJ 07024-4151
(201) 224-0255
(201) 224-0395
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00122300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196660
—
NJ
Enumeration date
07/08/2005
Last updated
07/08/2008
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