Individual
DAVID MOISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 S 4TH AVE, HIGHLAND PARK, NJ 08904-2621
(732) 572-3226
Mailing address
18465 MIDLAND PKWY, JAMAICA, NY 11432-1527
(718) 801-2383
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI2557300
NJ
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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