Individual
CHRIS MOTAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 775-5500
Mailing address
29 BROOK RD, HOWELL, NJ 07731-8675
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00213000
NJ
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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