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Individual

DR. MOISE MAMOUZETTE

Active
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Individual

DR. MOISE MAMOUZETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1566
VI
207V00000X
Obstetrics & Gynecology Physician
MD 2008-0823
NM
207VG0400X
Gynecology Physician
225641
NY

Other

Enumeration date
08/23/2005
Last updated
11/17/2011
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