Individual
DR. BONARD MOISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 WISHNOW WAY, BRIDGEWATER, NJ 08807-1481
(908) 252-0553
Mailing address
6 WISHNOW WAY, BRIDGEWATER, NJ 08807-1481
(908) 252-0553
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06321300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730695C2F
MEDICARE BILLING NO.
NJ
Enumeration date
09/05/2006
Last updated
03/18/2008
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