Organization
HERITAGE BREAST CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOIRA K CHRISTOUDIAS M.D. (BREAST SURGEON)
(201) 833-2888
Entity
Organization
Contact information
Practice address
741 TEANECK RD, SUITE B, TEANECK, NJ 07666-4243
(201) 833-2888
(201) 833-1010
Mailing address
741 TEANECK RD, SUITE B, TEANECK, NJ 07666-4243
(201) 833-2888
(201) 833-1010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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