Provider Demographics
NPI:1649570896
Name:MORONT MEDICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:MORONT MEDICAL ASSOCIATES LLC
Other - Org Name:MORONT MEDICAL ASSOCIATES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:MORONT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-781-1943
Mailing Address - Street 1:62 PALMER DR
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3884
Mailing Address - Country:US
Mailing Address - Phone:609-781-1943
Mailing Address - Fax:
Practice Address - Street 1:62 PALMER DR
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3884
Practice Address - Country:US
Practice Address - Phone:609-781-1943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07307300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty