Individual
NICHOLAS JOSEPH MOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
499 N RTE 17, PARAMUS, NJ 07652-3001
(908) 273-4300
Mailing address
10 LAFAYETTE AVE, MORRISTOWN, NJ 07960-8237
(240) 330-8261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00569400
NJ
363AS0400X
Surgical Physician Assistant
Primary
25MP00569400
NJ
Other
Enumeration date
11/09/2020
Last updated
02/01/2022
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