Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 26NJ00279800 | NJ |
NPI | 1003148511 |
---|---|
Provider Name | Efrain Morales |
First Address | Hamilton, NJ 08690-3536 |
Second Address | Hamilton, NJ 08690-3536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2010 |
Last Update Date | 26/08/2014 |