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Individual

DR. JEFFREY D MOSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
57 CITY HALL AVE, GARDNER, MA 01440-2614
(978) 630-3862
Mailing address
57 CITY HALL AVE, GARDNER, MA 01440-2614
(978) 630-3862

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2002
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002002
TUFTS
MA
01
33456
HARVARD PILGRIM
MA
01
Y70973
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/29/2007
Last updated
12/04/2018
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