Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 22D101035100 | NJ |
NPI | 1114079993 |
---|---|
Provider Name | Dr. Marc E Moskowitz |
First Address | Union, NJ 07083-4849 |
Second Address | Union, NJ 07083-4849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 08/07/2007 |