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General NPI Number Information
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NPI Number | 1871609149
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Entity Type | Individual
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Provider Name | MOISHE STARKMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 4000 ROUTE 130 BLDG C
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City | DELRAN
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State | NJ
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Zip | 08075-2414
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Country | US
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Telephone | 856-705-0685
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Fax | 856-705-0686
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Provider Business Mailing Address
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Address Line | 163 US HIGHWAY 130 STE 1B
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2249
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Country | US
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Telephone | 609-298-2992
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Fax | 609-291-8359
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | MA50962
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA05096200
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License Number State | NJ
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