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Individual

SHIRA HELETZ MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237-3901
(443) 777-7000
Mailing address
7821 BERGSTROM DRIVE, APT. 402, RALEIGH, NC 27616

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/03/2012
Last updated
12/31/2014
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