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Individual

MR. BURTON ALAN MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
302A E LITTLE CREEK RD, NORFOLK, VA 23505-2603
(757) 583-4382
(757) 480-3675
Mailing address
302A E LITTLE CREEK RD, NORFOLK, VA 23505-2603
(757) 583-4382
(757) 480-3675

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101015046
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285634253
INDIVIDUAL NPI#
VA
01
1326022880
GROUP NPI#
VA
01
C01592
MEDICARE GROUP #
VA
01
CN5602
RAILROAD MEDICARE GROUP #
VA
Enumeration date
07/29/2005
Last updated
01/14/2008
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