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NPI Code Detail

MEDICARE: JONATTAN MORALES MD

MEDICARE: JONATTAN MORALES MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician25MA13076500NJ

General Provider Information

NPI Number : 1891481073
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATTAN MORALES MD
Provider Business Mailing Address
First Line : 99 HIGHWAY 37 W
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-6423
Country : US
Telephone Number : 732-557-2604
Fax Number :
Provider Business Practice Location Address
First Line : 99 HIGHWAY 37 W
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08755-6423
Country : US
Telephone Number : 732-557-2604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2023
Last Update Date : 05/11/2026

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