Healthcare Provider Details

I. General information

NPI: 1699798009
Provider Name (Legal Business Name): BARBARA JEANNE MORONT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 YOUNG AVE STE 180 FRONT
MOORESTOWN NJ
08057
US

IV. Provider business mailing address

18 BROOKS RD
MOORESTOWN NJ
08057-3858
US

V. Phone/Fax

Practice location:
  • Phone: 856-291-8600
  • Fax: 856-291-8610
Mailing address:
  • Phone: 856-787-1708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMA073073
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: