Individual
DR. TIMOTHY PATRICK MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6585
Mailing address
40 LAIRD ST APT 421, LONG BRANCH, NJ 07740-8103
(860) 916-6382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02465700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI02465700
DENTAL LICENSE NUMBER
NJ
Enumeration date
02/22/2011
Last updated
02/22/2011
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