Individual
JEFFREY GLENN MOSKOWITZ
Active
Individual
JEFFREY GLENN MOSKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME79584
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25862580
—
FL
01
—
45910
BCBSHLD GRP#
FL
01
—
49836
BLUE CROSS BL/SLD IND #
FL
01
—
K2836
MEDICARE GRP #
FL
Enumeration date
08/15/2005
Last updated
01/31/2008
Update your record
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