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NPI Code Detail

MEDICARE: DONNA CHELLE VIRAY MORALES D.O.

MEDICARE: DONNA CHELLE VIRAY MORALES D.O.
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
1207UN0901XNuclear Cardiology Physician25MB09675800NJ
2390200000XStudent in an Organized Health Care Education/Training Program
3207RC0000XCardiovascular Disease Physician25MB09675800NJ

General Provider Information

NPI Number : 1841451291
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA CHELLE VIRAY MORALES D.O.
Provider Business Mailing Address
First Line : PO BOX 416457
Second Line :
City : BOSTON
State : MA
Zip : 02241-6457
Country : US
Telephone Number : 973-971-4179
Fax Number : 973-971-7905
Provider Business Practice Location Address
First Line : 120 FRANKLIN ST
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07307-2326
Country : US
Telephone Number : 201-216-9791
Fax Number : 201-216-1362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2008
Last Update Date : 08/05/2022

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