Dr. Jonathan R Moldover
Physical Medicine & Rehabilitation Doctor Pain Medicine
21 Dwight Road Ste 104
Longmeadow
, Massachusetts 01106
Dr. Jonathan R Moldover
Physical Medicine & Rehabilitation Doctor Pain Medicine
21 Dwight Road Ste 104
Longmeadow
, Massachusetts 01106
(413) 794-5700
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Dr. Jonathan R Moldover
- 280 Chestnut St 2nd Floor
- Springfield, MA
- Zip : 01199-1001
- Phone : (413) 794-5700
Second Address
- Dr. Jonathan R Moldover
- 21 Dwight Road Ste 104
- Longmeadow, MA
- Zip : 01106
- Fax : (413) 794-2733
- Phone : (413) 794-5600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 262755 | MA |
| N | 2081P2900X | Pain Medicine | 262755 | MA |
National Provider Identifier
| NPI | 1043215841 |
|---|---|
| Provider Name | Dr. Jonathan R Moldover |
| First Address | Springfield, MA 01199-1001 |
| Second Address | Longmeadow, MA 01106 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2005 |
| Last Update Date | 26/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.