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Individual

NEAL J MOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
651 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-5423
(859) 757-2927
(859) 341-0203
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 757-2927
(859) 341-0203

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01063729A
IN
207RP1001X
Pulmonary Disease Physician
01063729A
IN
207RP1001X
Pulmonary Disease Physician
Primary
28225
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
28225
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000074630
ANTHEM
KY
01
000000521452
ANTHEM PROVIDER NUMBER
IN
01
021036000
FEDERAL BLACK LUNG
KY
01
0420750
UNITED HEALTHCARE
KY
01
1098072
PASSPORT
KY
05
200861780
IN
05
2466504
OH
01
637481
AETNA
KY
05
64282254
KY
01
P00935618
RAIL ROAD MEDICARE
KY
Enumeration date
08/22/2005
Last updated
10/31/2023
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