Individual
NICHOLAS JAMES MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1595
(510) 268-7635
Mailing address
1100 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1595
(510) 268-7635
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A118804
CA
207RI0200X
Infectious Disease Physician
ML60023249
WA
Other
Enumeration date
10/20/2006
Last updated
06/05/2025
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