Individual
DR. GIANCARLO MOSCOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-2991
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446435
PA
207R00000X
Internal Medicine Physician
MT195239
PA
207RX0202X
Medical Oncology Physician
Primary
Q0319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311626
—
NJ
05
—
102747580
—
PA
05
—
375329501
—
TX
Enumeration date
06/30/2009
Last updated
11/30/2017
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