Individual
DR. NATHAN ADAM MOSS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 433-3427
Mailing address
620 JOHN PAUL JONES CIRCLE, NMRTC PORTSMOUTH, PORTSMOUTH, VA 23708
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
0101269970
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2012
Last updated
12/20/2021
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