Individual
MOSHE BACHARACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1166 RIVER AVE, SUITE 204, LAKEWOOD, NJ 08701-5600
(732) 905-4142
Mailing address
1166 RIVER AVE, SUITE 204, LAKEWOOD, NJ 08701-5600
(732) 905-4142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46194
NJ
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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