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Individual

JONATHAN ALLAN MOSELEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
507 E MAIN ST, TORRINGTON, CT 06790-5606
(860) 489-1291
(860) 489-1804
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4477

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
081704
CT
207R00000X
Internal Medicine Physician
2010-00773
NC
207R00000X
Internal Medicine Physician
282838
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5915319
NC
Enumeration date
06/07/2007
Last updated
03/20/2026
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