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Organization

MAMSURG THORACIC SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCE LAVAUGHN MOSS MD (PHYSICIAN/SOLE MEMBER)
(732) 886-2252
Entity
Organization

Contact information

Practice address
4013 US HIGHWAY 9, HOWELL, NJ 07731-4021
(732) 886-2252
Mailing address
4013 US HIGHWAY 9, HOWELL, NJ 07731-4021
(732) 886-2252

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25M080027700
NJ

Other

Enumeration date
03/03/2011
Last updated
03/03/2011
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