Individual
DEAN V MOESCH
Active
Individual
DEAN V MOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
027873
GA
2085R0202X
Diagnostic Radiology Physician
14702
SC
2085R0202X
Diagnostic Radiology Physician
2012-01179
NC
2085R0202X
Diagnostic Radiology Physician
25MP00560400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000412728K
—
GA
01
—
027873
LICENSE #
GA
01
—
10075550
AMERIGROUP
—
01
—
14702
LICENSE #
SC
01
—
20058502
FIRST CHOICE
—
01
—
44155
LICENSE
KY
01
—
52022342
BCBSGA
GA
05
—
G27873
—
SC
01
—
N333567
WELLCARE
—
01
—
P00316955
RAILROAD MEDICARE
GA
01
—
P00646674
RAILROAD MEDICARE
SC
Enumeration date
05/18/2006
Last updated
11/05/2025
Update your record
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