Individual
DAVID MOSKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4000
(859) 301-4001
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-4000
(859) 301-4001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.028706
OH
207RX0202X
Medical Oncology Physician
01088948A
IN
207RX0202X
Medical Oncology Physician
Primary
56820
KY
207RX0202X
Medical Oncology Physician
TP770
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
05/01/2016
Last updated
01/31/2023
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