Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 018910 | ME |
Y | 2081P2900X | Pain Medicine | MD447016 | PA |
NPI | 1316146384 |
---|---|
Provider Name | Dr. Robert N Moses |
First Address | Sarver, PA 16055-9428 |
Second Address | Pittsburgh, PA 15237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 15/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RES0000 | (02) |