Individual
DR. JACQUES L. MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 W 57TH ST, STE 204, NEW YORK, NY 10019-3158
(212) 603-4160
(212) 523-4166
Mailing address
PO BOX 95000-2243, OBGYN ASSOCIATES OF SLR, PHILADELPHIA, PA 19195-2243
(516) 338-5300
(516) 338-1075
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
188159-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01557799
—
NY
Enumeration date
08/09/2005
Last updated
01/30/2013
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