Individual
MAURO MOSCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA, MPH
Contact information
Practice address
960 FELL ST UNIT 418, BALTIMORE, MD 21231-3546
(734) 276-6663
Mailing address
960 FELL ST UNIT 418, BALTIMORE, MD 21231-3546
(734) 276-6663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301064397
MI
207R00000X
Internal Medicine Physician
D0078436
MD
207RC0000X
Cardiovascular Disease Physician
4301064397
MI
207RC0000X
Cardiovascular Disease Physician
Primary
D0078436
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123238
—
MI
Enumeration date
10/31/2006
Last updated
07/18/2024
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