Individual
RICARDO MOSCOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 CONSTITUTION DR STE 217, VIRGINIA BEACH, VA 23462-6799
(757) 233-2438
(757) 228-1524
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101056008
VA
Other
Enumeration date
05/25/2006
Last updated
02/07/2020
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