Healthcare Provider Details

I. General information

NPI: 1902948110
Provider Name (Legal Business Name): DAVID T. MORASKI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 ROUTE 179
LAMBERTVILLE NJ
08530-3447
US

IV. Provider business mailing address

1509 ROUTE 179 PO BOX 159
LAMBERTVILLE NJ
08530-3447
US

V. Phone/Fax

Practice location:
  • Phone: 609-397-8889
  • Fax: 609-397-8383
Mailing address:
  • Phone: 609-397-8889
  • Fax: 609-397-8383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00586000
License Number StateNJ

VIII. Authorized Official

Name: MR. DAVID THOMAS MORASKI
Title or Position: OWNER
Credential: RPH
Phone: 609-397-8889