Provider Demographics
NPI:1407428352
Name:MORALES-BUTTS, CINDY (NBHWC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:MORALES-BUTTS
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NBHWC
Mailing Address - Street 1:112 WOODBINE AVE
Mailing Address - Street 2:
Mailing Address - City:MERCHANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-1854
Mailing Address - Country:US
Mailing Address - Phone:856-577-5679
Mailing Address - Fax:
Practice Address - Street 1:112 WOODBINE AVE
Practice Address - Street 2:
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109-1854
Practice Address - Country:US
Practice Address - Phone:856-577-5679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3105090