Individual
DR. HOLLY MOSKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
511 W GROVE ST, SUITE #101, MIDDLEBORO, MA 02346-1458
(508) 947-7321
Mailing address
212 FORBES RD, ROCHESTER, MA 02770-1039
(774) 406-9226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4354
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708194
—
MA
01
—
W17490
MEDICARE
—
Enumeration date
08/12/2006
Last updated
02/12/2021
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