Individual
DR. STEVEN ISRAEL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
222953
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094037
—
MA
01
—
2276418
FIRST HEALTH
—
01
—
3694678
AETNA
—
01
—
6419848
CIGNA
—
01
—
A37939
MEDICARE ID
MA
01
—
AA22039
HARVARD PILGRIM
—
01
—
J28297
BCBS BLUE CARE ELECT
—
Enumeration date
07/27/2006
Last updated
11/15/2007
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