Individual
MARIE ADELE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
112 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 384-2610
Mailing address
112 MEDICAL DR, ELIZABETH CITY, NC 27909-3361
(252) 384-2610
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101265178
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
2018-01205
NC
390200000X
Student in an Organized Health Care Education/Training Program
201511
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356760136
—
NC
Enumeration date
04/09/2014
Last updated
11/22/2023
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