Provider Demographics
NPI:1902247802
Name:MOSS, PAMELA F (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:F
Last Name:MOSS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:111 ROUTE 31
Mailing Address - Street 2:SUITE 224
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5795
Mailing Address - Country:US
Mailing Address - Phone:908-237-4668
Mailing Address - Fax:908-237-4607
Practice Address - Street 1:111 ROUTE 31
Practice Address - Street 2:SUITE 224
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5795
Practice Address - Country:US
Practice Address - Phone:908-237-4668
Practice Address - Fax:908-237-4607
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA053407002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry