Organization
CARLOS MORENO MD AND ASSC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS MORENO MD (PRESIDENT OWNER)
(781) 769-0552
Entity
Organization
Contact information
Practice address
825 WASHINGTON ST, SUITE 300, NORWOOD, MA 02062-3441
(781) 769-0552
Mailing address
PO BOX 575, NORWOOD, MA 02062-0575
(781) 769-0552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60414
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9774815
—
MA
Enumeration date
02/12/2007
Last updated
07/12/2010
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