NPI 1043923113

Aja Moore

Practitioner Private Vehicle Bloomfield, NJ

Practice location

Address: 5 Lawrence St Unit 747, Bloomfield, NJ 07003-4675
Phone: (732) 713-7225

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence M65090157459822 (NJ)

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Registry record

NPI: 1043923113
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2023
Record last updated: 3 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.