Moreno, Jose G.

Moreno, Jose G. is an sole proprietor health care provider with primary practice located at 205 Ridgedale Ave , Florham Park NJ 07932-1349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Moreno, Jose G. can be contacted via phone (973) 966-0072.

Contact Information

Primary practice address
205 Ridgedale Ave Florham Park NJ 07932-1349
Phone: (973) 966-0072
Fax: (973) 966-0072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25MA03554300 New Jersey

Profile Details

NPI number 1487726386
LBN Legal business name Moreno, Jose G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1487726386 NPPES
New Jersey MEDICAID 3449807

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