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Individual

MR. SERGE A MOSOVICH

Active
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Individual

MR. SERGE A MOSOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
138784
NY
2084P0800X
Psychiatry Physician
138784-1
NY
2084P0800X
Psychiatry Physician
25MA08650200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00405990
NY
01
0S127
OXFORD ID
NY
01
138784-1
NY STATE LISENCE
NY
Enumeration date
12/05/2006
Last updated
11/10/2011
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