Individual
MOSHE WAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(171) 858-4900
Mailing address
15 AVON RD, NEW ROCHELLE, NY 10804-3302
(171) 858-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ND5182
ND
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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