Organization
MID ATLANTIC MULTI SPECIALTY SURGICAL GROUP, LLC
Active
Other names
MAMSURG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT L MOSS MD (MEMBER)
(917) 597-4112
Entity
Organization
Contact information
Practice address
2356 US HIGHWAY 9, SUITE B6, HOWELL, NJ 07731-4017
(732) 886-2252
(732) 886-2260
Mailing address
2356 US HIGHWAY 9, SUITE B6, HOWELL, NJ 07731-4017
(732) 886-2252
(732) 886-2260
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D06277
RAIL ROAD MEDICARE
NJ
Enumeration date
07/11/2006
Last updated
05/23/2016
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