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Organization

BRENDA L. MOSKOVITZ, M.D. PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENDA L. MOSKOVITZ M.D. PC (DR.)
(248) 524-1001
Entity
Organization

Contact information

Practice address
415 E MAPLE RD, SUITE 101, TROY, MI 48083-2720
(248) 524-1001
(248) 528-2533
Mailing address
415 E MAPLE RD, SUITE 101, TROY, MI 48083-2720
(248) 524-1001
(248) 528-2533

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1606331342
BCBS ID#
MI
Enumeration date
09/26/2006
Last updated
11/12/2014
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