Provider Demographics
NPI:1225671522
Name:MOSCINSKI, CATHERINE ANASTASIA
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANASTASIA
Last Name:MOSCINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5053
Mailing Address - Country:US
Mailing Address - Phone:908-239-5286
Mailing Address - Fax:
Practice Address - Street 1:581 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3835
Practice Address - Country:US
Practice Address - Phone:732-968-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04066900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist