Individual
KATIE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3 COOPER PLZ, SUITE NUMBER 411, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8366
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 968-7433
(856) 968-8366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00379700
NJ
363AM0700X
Medical Physician Assistant
MA057891
PA
Other
Enumeration date
10/06/2015
Last updated
01/05/2016
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