Ilene M Moss D.O.

NPI 1124059977 - Pediatrics - 208000000X

NPI Details
NPI 1124059977
Gender Female
Enumeration Date 07/06/2006
Last Updated 06/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
CEDAR KNOLLS NJ, 07927-1901, US
Phone (973) 267-2122
Fax (973) 292-1466
Business Location
PO BOX 416457
BOSTON MA, 02241-6457, US
Taxonomy Code 208000000X
License State New Jersey
License Number 25MB05693500
Remove 1124059977 NPI Number

According to our database, Ilene M Moss D.O. NPI is 1124059977, taxonomy code is 208000000X and license number is 25MB05693500, license state is located at New Jersey. Ilene M Moss D.O. physically located at 11 Saddle Rd, Cedar Knolls NJ, 07927-1901. NPI Number Ilene M Moss D.O. has the Individual type.

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1124059977 NPI number is provided on an as is basis without warranty of any kind. 1124059977 is maintained by the National Plan & Provider Enumeration System. The contents of Ilene M Moss D.O. are for informational purposes only.