Provider Demographics
NPI:1942975263
Name:MOREL, MILTON EMMANUEL JR
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:EMMANUEL
Last Name:MOREL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-2542
Mailing Address - Country:US
Mailing Address - Phone:201-926-4672
Mailing Address - Fax:
Practice Address - Street 1:1433 UNION TPKE
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-2542
Practice Address - Country:US
Practice Address - Phone:201-926-4672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer