Individual
DR. MOSHE EPHRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROSPECT AVE, HACKENSACK, NJ 07601-1911
(201) 342-6550
(201) 342-8549
Mailing address
101 PROSPECT AVE, HACKENSACK, NJ 07601-1911
(201) 342-6550
(201) 342-8549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA57339
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8025509
—
NJ
01
—
MA 57339
LICENSE NUMBER
NJ
Enumeration date
09/17/2006
Last updated
07/08/2007
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