Healthcare Provider Details

I. General information

NPI: 1104145986
Provider Name (Legal Business Name): ERWIN KAR-LEUNG MOY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 11/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3546 STATE ROUTE 27
KENDALL PARK NJ
08824-1065
US

IV. Provider business mailing address

21 CAPE MAY DR
MARLBORO NJ
07746-2618
US

V. Phone/Fax

Practice location:
  • Phone: 732-737-7801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA09713700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA09713700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: