Individual
DR. MARY K MOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9403 KENWOOD RD, SUITE C208, BLUE ASH, OH 45242-6895
(513) 891-5532
(513) 891-5323
Mailing address
9403 KENWOOD RD, SUITE C208, BLUE ASH, OH 45242-6895
(513) 891-5532
(513) 891-5323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35069312M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019096
—
OH
Enumeration date
11/15/2005
Last updated
07/29/2011
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