Individual
MOSHA MASHAUN PETERS-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 PARKSIDE CIR, BERLIN, MD 21811-1635
(410) 251-1551
Mailing address
11868 COLLEGE BACKBONE ROAD, HAZEL HALL, #1062, PRINCESS ANNE, MD 21853
(410) 651-8452
(410) 651-7586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D70961
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910689
—
AL
05
—
009910748
—
AL
Enumeration date
07/19/2007
Last updated
10/05/2021
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