Provider Demographics
NPI:1407970890
Name:MORAILLE, PASCALE (MD)
Entity Type:Individual
Prefix:DR
First Name:PASCALE
Middle Name:
Last Name:MORAILLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1125
Mailing Address - Country:US
Mailing Address - Phone:973-378-8446
Mailing Address - Fax:973-378-9884
Practice Address - Street 1:HOBOKEN UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:506 3RD STREET
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:201-792-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA053704002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry