Provider Demographics
NPI:1114121340
Name:MOSHEL, CAROLINE R (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:R
Last Name:MOSHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:ROSENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:745 ROUTE 202/206 STE 301
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1758
Mailing Address - Country:US
Mailing Address - Phone:908-231-1110
Mailing Address - Fax:908-526-4959
Practice Address - Street 1:745 ROUTE 202/206 STE 301
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1758
Practice Address - Country:US
Practice Address - Phone:908-231-1110
Practice Address - Fax:908-526-4959
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09140900207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology