Provider Information for 1013222660
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. ISAAC MOSS M.D.
Sex: Male
NPI: 1013222660
Last Updated: 2022-07-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1013222660 | ||||||||||||||||||||
| Enumeration Date | 2010-08-06 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | UCONN MEDICAL GROUP 263 FARMINGTON AVE FARMINGTON, CT 06030-8082 United States Phone: 860-679-6600 | Fax:860-679-6649 | ||||||||||||||||||||
| Primary Practice Address | UCONN MEDICAL GROUP 263 FARMINGTON AVE FARMINGTON, CT 06030-8082 United States Phone: 860-679-6600 | Fax:860-679-6649 | ||||||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||||||
| Other Identifiers |
| ||||||||||||||||||||
| Taxonomy |
|