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Individual
MOSS JACOB FENBERG
Active
Individual
MOSS JACOB FENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
50343
CO
207W00000X
Ophthalmology Physician
MD2012-0618
NM
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0050343
CO
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD2012-0618
NM
Other
Enumeration date
08/23/2006
Last updated
01/24/2025
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