Individual
ANGELA A MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 MCKINLEY AVE, LODI, NJ 07644-2920
(732) 687-0383
Mailing address
PO BOX 383, EDISON, NJ 08818-0383
(732) 687-0383
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00452400
NJ
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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