Individual
DR. STEPHEN BENJAMIN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-4002
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4002
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101251733
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043755701
—
MD
01
—
254718
JHHC
MD
01
—
Y1220011
CAREFIRST
MD
Enumeration date
08/05/2008
Last updated
03/23/2021
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