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Contact Information

MOSES M AVEDIKIAN, DO
18 E LAUREL RD
STRATFORD, NJ08084
 Phone: 856-346-7985
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MOSES M AVEDIKIAN · (Male)

NPI # 1134781982
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/02/2019
Last updated 05/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB11355900
  • CA Medicaid 99103253D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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