| Doctor Name: | DR. JOHN L. MOGLIA |
| NPI Number: | 1437214749 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 25MD001156 |
| Business Practice Address: | 668 Springfield Ave Berkeley Hts, NJ - 079221056 |
| Business Phone Number: | 9084647977 |
| Business Fax Number: | 9084647745 |
| Mailing Address: | 668 Springfield Ave, BERKELEY HTS |
| State: | NJ |
| Postal Code: | 079221056 |
| Phone Number: | 9084647977 |
| Fax Number: | 9084647745 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 10/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 25MD001156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |