Individual
DR. ROBERT LESLIE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 BUSINESS CENTER DRIVE, REISTERSTOWN, MD 21136
(410) 833-2772
(410) 526-4897
Mailing address
114 BUSINESS CENTER DRIVE, REISTERSTOWN, MD 21136
(410) 833-2772
(410) 526-4897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0032882
MD
207R00000X
Internal Medicine Physician
Primary
D32882
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0032882
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405231500
—
MD
01
—
75792
AETNA
MD
01
—
KF68 / 351268-01
BC/BS OF MD
MD
01
—
S190 / 0017
BLUE CHOICE
MD
Enumeration date
07/09/2006
Last updated
03/15/2010
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