Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ME39615 | FL |
NPI | 1144644634 |
---|---|
Provider Name | Dr. Moshe R. Peress |
First Address | Boca Raton, FL 33486-2349 |
Second Address | Boca Raton, FL 33486-2349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2014 |
Last Update Date | 05/02/2014 |