Organization
SUSAN I MORENO M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN I MORENO (DOCTOR)
(856) 845-2323
Entity
Organization
Contact information
Practice address
196 GROVE AVE, SUITE E, THOROFARE, NJ 08086
(856) 845-2323
(856) 845-4888
Mailing address
196 GROVE AVE, SUITE E, THOROFARE, NJ 08086
(856) 845-2323
(856) 845-4888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA05706900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0509463000
KEYSTONE, AMERI, BC/BS
—
01
—
0558269000
AMERIIHEALTH PERSONAL CHO
—
01
—
1697844001
CIGNA
—
01
—
2162090
AETNA
—
01
—
722323
PABS PC
—
01
—
905513
FIRST HEALTH
—
01
—
G22323
AMERI HEALTH ADMIN.
—
01
—
P2681709
OXFORD HEALTH PLANS
—
Enumeration date
07/19/2007
Last updated
04/20/2008
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