Provider Demographics
NPI:1902871999
Name:KARU, MOIZ S (MD)
Entity Type:Individual
Prefix:DR
First Name:MOIZ
Middle Name:S
Last Name:KARU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:760 BOUND BROOK RD
Mailing Address - Street 2:
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1008
Mailing Address - Country:US
Mailing Address - Phone:732-968-2811
Mailing Address - Fax:732-968-7769
Practice Address - Street 1:760 BOUND BROOK RD
Practice Address - Street 2:
Practice Address - City:DUNELLEN
Practice Address - State:NJ
Practice Address - Zip Code:08812-1008
Practice Address - Country:US
Practice Address - Phone:732-968-2811
Practice Address - Fax:732-968-7769
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04025500207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3806901Medicaid
NJ520901Medicare PIN