Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD015852E | PA |
NPI | 1013960061 |
---|---|
Provider Name | Dr. Morry Moskovitz |
First Address | Beaver Falls, PA 15010-1634 |
Second Address | Beaver Falls, PA 15010-1634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 11/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B40705 | (02) |