Individual
DR. JOHN A MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
618 ERIE LN # B, STRATFORD, CT 06614-8236
(203) 380-1337
Mailing address
618 ERIE LN # B, STRATFORD, CT 06614-8236
(203) 380-1337
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
015561
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015561
STATE OF CONNECTICUT LICENSE
CT
Enumeration date
01/18/2012
Last updated
01/18/2012
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