Individual
KIM H MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
SUITE 122 3350 HWY 138 WEST, WALL, NJ 07719-9693
(732) 280-1200
(732) 280-1207
Mailing address
SUITE 122 3350 HWY 138 WEST, WALL, NJ 07719-9693
(732) 280-1200
(732) 280-1207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00090200
NJ
Other
Enumeration date
10/04/2006
Last updated
10/23/2007
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