Individual
DR. DAVID RUSSELL MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOX 298, BOSTON, MA 02111-1552
(617) 636-6044
(617) 636-8384
Mailing address
800 WASHINGTON ST, BOX 298, BOSTON, MA 02111-1552
(617) 636-6044
(617) 636-8384
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
239306
MA
207LP3000X
Pediatric Anesthesiology Physician
Primary
239306
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083132/A
—
MA
Enumeration date
02/26/2007
Last updated
11/07/2010
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