Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MA05163200 | NJ |
NPI | 1003968629 |
---|---|
Provider Name | Mr. Steven Moskowitz |
First Address | New Providence, NJ 07974 |
Second Address | New Providence, NJ 07974 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 20/11/2015 |