Individual
ANDREW G MOSKOVITZ
Active
Individual
ANDREW G MOSKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77152
MA
208000000X
Pediatrics Physician
77152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010077152MA01
BLUE CROSS BLUE SHIELD CT
CT
01
—
077152
TUFTS HEALTH PLAN
MA
01
—
14580
HEALTH NEW ENGLAND
MA
05
—
3113949
—
MA
01
—
J14675
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
07/17/2006
Last updated
10/22/2018
Update your record
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