Individual
DR. ALAN NATHAN MOSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9004 FERN PARK DRIVE, BURKE, VA 22015
(703) 425-5300
Mailing address
PO BOX 417480, BOSTON, MA 02241-7480
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101031347
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00140002
BCBS
DC
01
—
030016
UNITED HEALTHCARE
—
01
—
0631917
ANTHEM
VA
01
—
070004487
RAILROAD MEDICARE
—
05
—
5996643
—
VA
01
—
P00722679
RAILROAD MEDICARE
DC
Enumeration date
09/22/2006
Last updated
03/14/2012
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