Provider Demographics
NPI:1780862953
Name:MOSKAL, MALGORZATA (PHARMD)
Entity Type:Individual
Prefix:
First Name:MALGORZATA
Middle Name:
Last Name:MOSKAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MALGORZATA
Other - Middle Name:
Other - Last Name:TOMCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:52 FOX HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:NJ
Mailing Address - Zip Code:07827-3500
Mailing Address - Country:US
Mailing Address - Phone:631-838-3631
Mailing Address - Fax:
Practice Address - Street 1:96 DOLSON AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6502
Practice Address - Country:US
Practice Address - Phone:845-343-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-09
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02989000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02989000OtherRPH STATE LICENSE