Individual
DR. AMOS MICHAEL MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6044 MAIN ST, SUITE 100, WILLIAMSVILLE, NY 14221-6883
(716) 633-6988
(716) 631-8690
Mailing address
6044 MAIN ST, SUITE 100, WILLIAMSVILLE, NY 14221-6883
(716) 633-6988
(716) 631-8690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
253761
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2008
Last updated
04/16/2010
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