Provider Demographics
NPI:1821226242
Name:MOULAYES, NADRA (DO)
Entity Type:Individual
Prefix:DR
First Name:NADRA
Middle Name:
Last Name:MOULAYES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 VERNON AVE
Mailing Address - Street 2:2ND FL
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-1630
Mailing Address - Country:US
Mailing Address - Phone:973-931-8732
Mailing Address - Fax:973-340-2356
Practice Address - Street 1:285 VERNON AVE
Practice Address - Street 2:2ND FL
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-1630
Practice Address - Country:US
Practice Address - Phone:973-931-8732
Practice Address - Fax:973-340-2356
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ39208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery