Individual
DR. ISAAC MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-6600
(860) 679-6649
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-6600
(860) 679-6649
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036.124953
IL
207X00000X
Orthopaedic Surgery Physician
Primary
049572
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
036.124953
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
049572
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013222660
—
CT
Enumeration date
08/06/2010
Last updated
07/11/2022
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