Charles M Moss
Vascular Surgeon
240 Williamson St Suite 104
Elizabeth
, New Jersey 07202-3674
Charles M Moss
Vascular Surgeon
240 Williamson St Suite 104
Elizabeth
, New Jersey 07202-3674
(908) 994-8802
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Charles M Moss
- 240 Williamson St Suite 104
- Elizabeth, NJ
- Zip : 07202-3674
- Fax : (908) 994-8802
- Phone : (908) 994-5480
Second Address
- Charles M Moss
- 240 Williamson St Suite 104
- Elizabeth, NJ
- Zip : 07202-3674
- Fax : (908) 994-8802
- Phone : (908) 994-5480
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | MA29872 | NJ |
National Provider Identifier
| NPI | 1134274582 |
|---|---|
| Provider Name | Charles M Moss |
| First Address | Elizabeth, NJ 07202-3674 |
| Second Address | Elizabeth, NJ 07202-3674 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 18/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C56294 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.