Individual
ALICIA ANN MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
26962
WV
2080N0001X
Neonatal-Perinatal Medicine Physician
35078734
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
F9839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1803785000
—
WV
05
—
2233587
—
OH
05
—
64050380
—
KY
Enumeration date
09/06/2005
Last updated
04/13/2022
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