Organization
MOSS & GEUDER SURGICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MICHAEL MOSS M.D. (PRESIDENT)
(201) 488-2220
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, SUITE 707, HACKENSACK, NJ 07601-1997
(201) 488-2220
(201) 343-9106
Mailing address
20 PROSPECT AVE, SUITE 707, HACKENSACK, NJ 07601-1997
(201) 488-2220
(201) 343-9106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA29872
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550660
—
NJ
Enumeration date
07/22/2006
Last updated
08/22/2020
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