Individual
RAY MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17-17 ROUTE 208 FL 3, FAIR LAWN, NJ 07410-2820
(201) 414-5095
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MB12808200
NJ
Other
Enumeration date
06/10/2020
Last updated
08/11/2025
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