Healthcare Provider Details

I. General information

NPI: 1902871999
Provider Name (Legal Business Name): MOIZ S KARU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 12/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 BOUND BROOK RD
DUNELLEN NJ
08812-1008
US

IV. Provider business mailing address

760 BOUND BROOK RD
DUNELLEN NJ
08812-1008
US

V. Phone/Fax

Practice location:
  • Phone: 732-968-2811
  • Fax: 732-968-7769
Mailing address:
  • Phone: 732-968-2811
  • Fax: 732-968-7769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number25MA04025500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: