Individual
DR. ROBERT M MOGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3474
(607) 547-6553
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3474
(607) 547-6553
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
155250
NY
2086S0129X
Vascular Surgery Physician
Primary
155250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184909
—
NY
Enumeration date
04/14/2006
Last updated
02/19/2008
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