Provider Demographics
NPI:1497805774
Name:KANEFSKY & MOSCOWITZ PA
Entity Type:Organization
Organization Name:KANEFSKY & MOSCOWITZ PA
Other - Org Name:THE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:I
Authorized Official - Last Name:MOSCOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-743-5116
Mailing Address - Street 1:731 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2514
Mailing Address - Country:US
Mailing Address - Phone:973-743-5116
Mailing Address - Fax:973-743-4640
Practice Address - Street 1:731 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2514
Practice Address - Country:US
Practice Address - Phone:973-743-5116
Practice Address - Fax:973-743-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty