Individual
MOISES MORIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1719 MAIN STREET, LAKE COMO, NJ 07719-3097
(732) 894-9200
Mailing address
1719 MAIN STREET, LAKE COMO, NJ 07719-3097
(732) 894-9200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00054200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649561812
GROUP NPI
NJ
01
—
25MZ00054200
STATE LICENSE
NJ
Enumeration date
04/11/2012
Last updated
04/11/2012
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