Moczerniuk, Jaroslaw

Moczerniuk, Jaroslaw is an individual health care provider with primary practice located at 100 Craig Rd Ste 108, Manalapan NJ 07726-8731. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Moczerniuk, Jaroslaw can be contacted via phone (732) 462-2162.

Contact Information

Primary practice address
100 Craig Rd Ste 108 Manalapan NJ 07726-8731
Phone: (732) 462-2162
Fax: (732) 462-2137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01323400 New Jersey

Profile Details

NPI number 1033341581
LBN Legal business name Moczerniuk, Jaroslaw
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2009
Last updated Jan 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033341581 NPPES
New Jersey Other 166783 MEDICARE PTAN

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