Doctor Name: | KATHLEEN PATRICIA MOSKIN |
NPI Number: | 1306913546 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 26NN05165000 |
Business Practice Address: | 301 Godwin Ave Midland Park, NJ - 074321544 |
Business Phone Number: | 2014444526 |
Business Fax Number: | |
Mailing Address: | 211 Point Breeze Dr, HEWITT |
State: | NJ |
Postal Code: | 074211804 |
Phone Number: | 9738537310 |
Fax Number: | 9738534868 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NN05165000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |