Moschella, Michael G

Moschella, Michael G is an sole proprietor health care provider with primary practice located at 331 Main St , East Orange NJ 07017-1208. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Moschella, Michael G can be contacted via phone (973) 736-2244.

Contact Information

Primary practice address
331 Main St East Orange NJ 07017-1208
Fax: (973) 736-2227
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 45PO00013100 New Jersey

Profile Details

NPI number 1659442374
LBN Legal business name Moschella, Michael G
Credentials CPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659442374 NPPES
New Jersey Other 2900665 AETNA HEALTHCARE
New Jersey Other 3K4056 AETNA HEALTHCARE
New Jersey MEDICAID 8745501 AETNA HEALTHCARE

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