Rumantha Moody in Montclair - Addiction Medicine
Rumantha Moody - NPI 1891820254
Rumantha Moody is a Addiction Medicine in Montclair, New Jersey. Rumantha Moody practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Rumantha Moody is 1891820254. The last update date is 2007-07-08.
Rumantha Moody's current location address is 65 Hawthorne Pl, Montclair, New Jersey. You can contact this provider via phone number 9735095782. The mailing address for Rumantha Moody is 65 Hawthorne Pl, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rumantha Moody |
|---|---|
| Address | 65 Hawthorne Pl, Montclair, New Jersey |
| Phone Number | 9735095782 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1891820254 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 Hawthorne Pl |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 70422621 |
| Phone Number | 9735095782 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 32707 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1074504 | NJ | -- |
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What is the unique identification code assigned to Rumantha Moody by the Centers for Medicare & Medicaid Services?
The Rumantha Moody has been issued the NPI (National Provider Identifier) 1891820254. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Rumantha Moody located?
The Rumantha Moody is located at 65 Hawthorne Pl, Montclair, NJ 70422621.
What is Rumantha Moody's area of expertise and its corresponding taxonomy classification?
The Rumantha Moody's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their areas of practice.
On what date did the Rumantha Moody receive the assignment of its 1891820254 from the Centers for Medicare & Medicaid Services?
The Rumantha Moody was issued its 1891820254 by the Centers for Medicare & Medicaid Services on 2007-02-23.
As of what date were the details pertaining to Rumantha Moody last refreshed?
The information related to the Rumantha Moody, including its address, specialty, and other relevant details, was last updated on 2007-07-08.