Provider Demographics
NPI:1881748648
Name:STEVEN MOSKOWITZ MD PA
Entity type:Organization
Organization Name:STEVEN MOSKOWITZ MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-508-0371
Mailing Address - Street 1:556 CENTRAL AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974
Mailing Address - Country:US
Mailing Address - Phone:908-508-0400
Mailing Address - Fax:908-508-1356
Practice Address - Street 1:556 CENTRAL AVENUE
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974
Practice Address - Country:US
Practice Address - Phone:908-508-0400
Practice Address - Fax:908-508-1356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208000000X
NJ208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty