Provider Demographics
NPI:1740235225
Name:MOUSSA, ALBER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBER
Middle Name:
Last Name:MOUSSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALBER
Other - Middle Name:HELMY
Other - Last Name:MOUSSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:73 BRUNSWICK WOODS DR
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5601
Mailing Address - Country:US
Mailing Address - Phone:732-698-9009
Mailing Address - Fax:732-698-1414
Practice Address - Street 1:73 BRUNSWICK WOODS DR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5601
Practice Address - Country:US
Practice Address - Phone:732-698-9009
Practice Address - Fax:732-698-1414
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07622500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0008796Medicaid
NJ0008796Medicaid
NJH91113Medicare UPIN