Individual
DR. MIR A. MOOSVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
717 N BEERS ST, SUITE 2C, HOLMDEL, NJ 07733-1524
(732) 264-7411
(732) 264-1074
Mailing address
717 N BEERS ST, STE 2C, HOLMDEL, NJ 07733-1525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03401800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029380TSE
MEDICARE LEGACY
NJ
05
—
2509707
—
NJ
Enumeration date
10/02/2006
Last updated
08/30/2016
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