Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A100698 | CA |
NPI | 1003933169 |
---|---|
Provider Name | Dr. David Gregory Moskowitz |
First Address | San Rafael, CA 94903-3308 |
Second Address | San Rafael, CA 94903-3308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 11/02/2022 |