Individual
SHOSHANA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
685 RIVER AVE, LAKEWOOD, NJ 08701-5288
(732) 486-7373
Mailing address
232 BROOK AVE, PASSAIC, NJ 07055-3340
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15222500
NJ
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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