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Mr. Michael G Moschella, CPO
Prosthetic/Orthotic Supplier in East Orange, New Jersey
NPI 1659442374

Michael G Moschella is a Prosthetic/Orthotic Supplier based in East Orange, NJ. Michael G Moschella practices in East Orange, NJ and has the professional credentials of CPO. The NPI Number for Michael G Moschella is 1659442374 and holds a License No. 45PO00013100 (New Jersey).

The current practice location address for Michael G Moschella is 331 Main St, East Orange, NJ and can be reached out via phone at 973-736-2244 and via fax at 973-736-2227.

Location: 331 Main St, East Orange, NJ, 07017-1208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659442374
Provider Name
Michael G Moschella
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
331 Main St, East Orange, NJ, 07017-1208
Phone Number
973-736-2244
Fax Number
973-736-2227
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3K4056 01 NJ HEALTHNET
8745501 05 NJ
2900665 01 NJ AETNA HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
331 Main St
City
East Orange
State
New Jersey
Zip
07017-1208
Phone Number
973-736-2244
Fax Number
973-736-2227
person
Provider Business Mailing Address Details
Address
331 Main St
City
East Orange
State
New Jersey
Zip
07017-1208
Phone Number
973-736-2244
Fax Number
973-736-2227
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
45PO00013100 (New Jersey)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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