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Individual

BOGDAN MOLDOVEANU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4402 CHURCHMAN AVE, SUITE 409, LOUISVILLE, KY 40215-1190
(502) 368-9561
(502) 368-9616
Mailing address
501 E BROADWAY, #220, LOUISVILLE, KY 40202-1785
(502) 589-4856
(502) 589-5093

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
38256
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200853080
IN
05
7100010180
KY
Enumeration date
09/14/2006
Last updated
11/30/2015
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