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Individual
DR. SUSAN I MORENO
Active
Individual
DR. SUSAN I MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA05706900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004117179
FAMILY HEALTH PROV SELECT
—
01
—
0509463000
KEYSTONE AMERI BCBS
—
01
—
1697844001
CIGNA
—
01
—
1K8338
HEALTHNET HMO PLANS ALSO
—
01
—
2162090
AETNA IN NETWORK WITH OPE
—
01
—
223671610
DEVON
—
01
—
250012005
RR MEDICARE
—
01
—
363879700
DEPT OF LABOR WORKMANS CO
—
01
—
722323
AMERIHEALTH PC
—
01
—
905513
FIRSH HEALTH
—
01
—
G22323
AMERI ADMIN
—
01
—
P2681709
OXFORD HEALTH PLAN NOT IN
—
Enumeration date
09/22/2006
Last updated
10/30/2015
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