Provider Demographics
NPI:1013111830
Name:MOSHEL, YARON AHARON (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:YARON
Middle Name:AHARON
Last Name:MOSHEL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MADISON AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7303
Mailing Address - Country:US
Mailing Address - Phone:973-993-7700
Mailing Address - Fax:973-971-7240
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:CAROL G. SIMON CANCER CENTER- 3RD FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6967
Practice Address - Country:US
Practice Address - Phone:973-993-7700
Practice Address - Fax:973-971-7240
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08787400207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0233471Medicaid
PA102520307Medicaid
PA185794Medicare PIN