Individual
DOUGLAS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 PARK AVENUE, NEW YORK, NY 10128
(212) 860-2600
(212) 348-9300
Mailing address
1160 PARK AVENUE, NEW YORK, NY 10128
(212) 860-2600
(212) 348-9300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1797071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4358240
AETNA
NY
Enumeration date
10/12/2006
Last updated
07/08/2007
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