Organization
SHUBAN K MOZA MD PC
Active
Other names
Shuban K Moza MD Prof Corp
Organization subpart
No
Provider details
NPI number
Authorized official
SHUBAN KISHEN MOZA MD (PRES CEO)
(315) 336-0565
Entity
Organization
Contact information
Practice address
1614 N JAMES ST, ROME, NY 13440
(315) 336-0565
(315) 337-6533
Mailing address
1614 N JAMES ST, ROME, NY 13440
(315) 336-0565
(315) 337-6533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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