Individual
MR. MICHAEL G MOSCHELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00013100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2900665
AETNA HEALTHCARE
NJ
01
—
3K4056
HEALTHNET
NJ
05
—
8745501
—
NJ
Enumeration date
11/13/2006
Last updated
07/08/2007
Update your record
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