Individual
DR. CRYSTAL L MOSCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5133 RIDGE RD # 1, WADSWORTH, OH 44281-9708
(330) 239-4455
(330) 239-4456
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(877) 220-9811
(330) 225-5394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-087134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2704452
—
OH
Enumeration date
10/13/2006
Last updated
11/19/2020
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