Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 236616 | MA |
N | 2080P0214X | Pediatric Pulmonologist | MD00035368 | WA |
NPI | 1295816551 |
---|---|
Provider Name | Samuel M Moskowitz |
First Address | Boston, MA 02114 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 18/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3209 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8270696 | (05) | WA |
H36155 | (02) |