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Individual

DR. DAVID A MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI 02919-3228
(401) 351-6200
(401) 351-6201
Mailing address
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI 02919-3228
(401) 351-6200
(401) 351-6201

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD09787
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050397249
UNITEDHEALTHCARE
01
0860497-002
CIGNA
01
103714900
U.S. DEPT. OF LABOR-WC
01
23922
NEIGHBORHOOD HEALTH PLANS
RI
01
2723
BC BS OF RI
RI
01
402836
BLUECHIP OF RI
RI
01
7278316
AETNA
01
778764
TUFTS HEALTH PLANS
MA
05
9002723
RI
01
AA48450
HARVARD PILGRIM HEALTH
MA
01
CD1829
RAILROAD MEDICARE
01
R000315
TRICARE
Enumeration date
05/04/2006
Last updated
04/08/2009
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