Individual
DR. STEVEN ISRAEL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 ATTUCKS LN, HYANNIS, MA 02601-1809
(508) 771-7790
(508) 771-7793
Mailing address
PO BOX 845963, BOSTON, MA 02284
(508) 771-7790
(508) 771-7793
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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