Individual
DR. JACQUELINE S MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
226 NORHAMPTON STREET, EASTON, PA 18042-3676
(484) 221-9136
(484) 221-9130
Mailing address
2030 TIGHMAN STREET, SUITE 105B, ALLENTOWN, PA 18104-4354
(484) 221-9136
(484) 221-9130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS9075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269230900
—
FL
Enumeration date
05/22/2006
Last updated
04/24/2015
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