Individual
EMRAH MOUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
785 W SHERMAN AVE, VINELAND, NJ 08360-6913
(856) 451-4700
Mailing address
785 W SHERMAN AVE, VINELAND, NJ 08360-6913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR25416400
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15407500
NJ
Other
Enumeration date
03/20/2025
Last updated
09/11/2025
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