Individual
DR. LANNY MOSKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 KENNEDY DR, SUITE L104, TORRINGTON, CT 06790-3060
(860) 626-1141
(860) 626-8911
Mailing address
333 KENNEDY DR, SUITE L104, TORRINGTON, CT 06790-3060
(860) 626-1141
(860) 626-8911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027080
CT
207QA0505X
Adult Medicine Physician
027080
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001270800
—
CT
01
—
0100270801
BCBS
CT
01
—
027080
CIGNA
CT
01
—
0470889
AETNA
CT
01
—
080000185
MEDICARE PTAN
CT
Enumeration date
08/04/2006
Last updated
05/17/2013
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