Individual
DR. IVAN P MOSKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5841 S MARYLAND AVE, MC 1059, ROOM N314B, CHICAGO, IL 60637-1447
(617) 731-8483
Mailing address
5841 S MARYLAND AVE, MC 1059, ROOM N314B, CHICAGO, IL 60637-1447
(617) 731-8483
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
209677
MA
Other
Enumeration date
08/06/2006
Last updated
07/08/2007
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