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Individual

DR. ROBERT JOSEPH MOSES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
70 E 68TH PL, MERRILLVILLE, IN 46410-3506
(219) 736-2020
Mailing address
70 E 68TH PL, MERRILLVILLE, IN 46410-3506
(219) 613-1230

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003410A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200829100
IN
Enumeration date
07/07/2006
Last updated
08/19/2011
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