Individual
MICHAEL MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1603 2ND ST, NEW ORLEANS, LA 70130-5923
(504) 895-7200
(504) 895-9710
Mailing address
1603 2ND ST, NEW ORLEANS, LA 70130-5923
(504) 895-7200
(504) 895-9710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06537R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343145
—
LA
Enumeration date
10/24/2006
Last updated
07/08/2007
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