Provider Demographics
NPI:1467597609
Name:PAMELA F. MOSS, M.D.
Entity Type:Organization
Organization Name:PAMELA F. MOSS, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-237-4668
Mailing Address - Street 1:111 ROUTE 31
Mailing Address - Street 2:SUITE 224
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5740
Mailing Address - Country:US
Mailing Address - Phone:908-237-4668
Mailing Address - Fax:908-237-4607
Practice Address - Street 1:111 ROUTE 31
Practice Address - Street 2:SUITE 224
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5740
Practice Address - Country:US
Practice Address - Phone:908-237-4668
Practice Address - Fax:908-237-4607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0534072084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty