Individual
DR. EDWARD R MOGABGAB
Active
Individual
DR. EDWARD R MOGABGAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501609
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59904
BLUE CROSS
NC
05
—
8959904
—
NC
Enumeration date
09/16/2006
Last updated
10/03/2018
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