Organization
S MOOSA JAFFARI MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL GALLAGHER (OFFICE MANAGER)
(732) 367-7707
Entity
Organization
Contact information
Practice address
814 RIVER AVE, LAKEWOOD, NJ 08701-5278
(732) 367-7707
(732) 367-7860
Mailing address
814 RIVER AVE, LAKEWOOD, NJ 08701-5278
(732) 367-7707
(732) 367-7860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02930800
NJ
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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