Organization
DR ANNA MOY DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MOY DPM (DOCTOR OF PODIATRIC MEDICINE)
(973) 416-1333
Entity
Organization
Contact information
Practice address
631 NYE AVE, SUITE A7, IRVINGTON, NJ 07111-2394
(973) 416-1333
(973) 416-0179
Mailing address
PO BOX 3619, JERSEY CITY, NJ 07303-3619
(201) 938-1866
(973) 416-0179
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD00155900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313301
—
NJ
01
—
1972578532
INDIVIDUAL NPI #
NJ
Enumeration date
06/19/2007
Last updated
09/07/2007
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