Individual
MISS TRACI L MORETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TVI
Contact information
Practice address
126 ADAMS ST, APT 4R, HOBOKEN, NJ 07030-8552
(845) 304-3552
Mailing address
126 ADAMS ST, APT 4R, HOBOKEN, NJ 07030-8552
(845) 304-3552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
798461
NY
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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