Individual
ETHAN MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 N BROAD ST STE 1, WOODBURY, NJ 08096-1795
(856) 576-5750
Mailing address
660 WHITE PLAINS RD STE 400, TARRYTOWN, NY 10591-5107
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
25MA12748900
NJ
Other
Enumeration date
03/19/2019
Last updated
12/03/2025
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