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Individual

MARK SANDERS MOSKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1089 X RAY DR, GASTONIA, NC 28054-7489
(704) 864-8377
Mailing address
1089 X RAY DR, GASTONIA, NC 28054-7489
(704) 864-8377

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00-24020
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0082390-002
CIGNA
NC
01
011610
PARTNERS
NC
01
17-41477
UNITED HEALTHCARE
NC
01
2029701
AETNA/USHC HMO
NC
01
256264
MAMSI
NC
01
28449
MEDCOST
NC
01
4451102
AETNA/USHC
NC
01
61169
BCBS
NC
05
8961169
NC
Enumeration date
04/26/2006
Last updated
05/21/2009
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