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Individual
DR. CHARLES F MOLDOW
Active
Individual
DR. CHARLES F MOLDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
21787
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051714
—
MT
05
—
0505529
—
IA
01
—
05G93MO
BLUE CROSS BLUE SHIELD
—
01
—
1017749
PREFERRED ONE
—
05
—
10387
—
ND
01
—
122987
UCARE
—
01
—
30-00009
MEDICA PRIMARY
—
01
—
30-07017
MEDICA CHOICE
—
05
—
30211800
—
WI
05
—
7777470
—
SD
01
—
778277
ARAZ
—
05
—
900321500
—
MN
01
—
HP28832
HEALTH PARTNERS
—
Enumeration date
10/31/2006
Last updated
04/18/2012
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