Individual
JAIME PADAVIL MOSKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
406 FARMINGTON AVE, FARMINGTON, CT 06032-1964
(860) 676-7815
Mailing address
406 FARMINGTON AVE, FARMINGTON, CT 06032-1964
(860) 676-7815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010052063CT1
ANTHEM BCBS CT
CT
01
—
052063
CONNECTICARE
CT
01
—
1186645
USA
CT
01
—
2508638
COVENTRY/FIRST HEALTH
CT
01
—
4914202
AETNA
CT
01
—
925378
WELLCARE
CT
Enumeration date
06/11/2010
Last updated
01/20/2015
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