Individual
DR. PETER L. MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, ACC 5TH FLOOR SURGERY CLINIC MAIN, FAHC, BURLINGTON, VT 05401-1473
(802) 847-8865
Mailing address
37 POPPLE DUNGEON RD, CHARLOTTE, VT 05445-4416
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042-0008408
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01566196
—
NY
05
—
0VN0181
—
VT
Enumeration date
10/03/2006
Last updated
07/08/2007
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