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NPI Code Detail

MEDICARE: MR. RALPH MOSCARELLA MA, CCC-A

MEDICARE: MR. RALPH MOSCARELLA MA, CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter57-00201NY
2231H00000XAudiologist41YA00077200NJ
3237600000XAudiologist-Hearing Aid Fitter25MG00126600NJ

General Provider Information

NPI Number : 1588822019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RALPH MOSCARELLA MA, CCC-A
Provider Business Mailing Address
First Line : 1984 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3437
Country : US
Telephone Number : 973-275-1006
Fax Number : 973-275-1106
Provider Business Practice Location Address
First Line : 1984 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3437
Country : US
Telephone Number : 973-275-1006
Fax Number : 973-275-1106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2008
Last Update Date : 06/11/2014

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