Individual
DR. EDWARD G. MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, COOPER UNIVERISTY RADIOLOGY, CAMDEN, NJ 08103-1461
(856) 342-2383
(836) 365-0472
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA02568800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000697834 0001
—
PA
01
—
0079795000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
105526
AMERIHEALTH PPO/ PA BS
NJ
01
—
1829988
UNITED HEALTHCARE
NJ
01
—
18880
UNIVERSITY HEALTH PLAN
NJ
05
—
2408601
—
NJ
01
—
3396096
AETNA
NJ
01
—
4949470
CIGNA
NJ
01
—
60003013
HORIZON NJ HEALTH
NJ
01
—
CA000023703
AMERICHOICE
NJ
01
—
P00092391
RR MEDICARE
NJ
01
—
P3737787
OXFORD
NJ
Enumeration date
07/04/2006
Last updated
05/07/2008
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