Provider Demographics
NPI:1376719427
Name:MORIAH, DEBORAH L (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:L
Last Name:MORIAH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 LAWRENCEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3523
Mailing Address - Country:US
Mailing Address - Phone:609-882-0700
Mailing Address - Fax:609-882-6228
Practice Address - Street 1:1213 LAWRENCEVILLE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3523
Practice Address - Country:US
Practice Address - Phone:609-882-0700
Practice Address - Fax:609-882-6228
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00655200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2C955MOMedicare PIN
MN2C956MOMedicare UPIN