Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101-036953 | VA |
Y | 2080P0202X | Pediatric Cardiologist | 0101-036953 | VA |
NPI | 1205946845 |
---|---|
Provider Name | Dr. William B. Moskowitz |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 14/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6704255 | (05) | VA |
B07995 | (02) |