Provider Information for 1780956847
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JASON MOSCATO LMHC, RN
Sex: Male
NPI: 1780956847
Last Updated: 2012-02-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1780956847 | ||||||||
| Enumeration Date | 2012-02-06 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 338 MAIN ST STE 301 WAKEFIELD, MA 01880-5042 United States Phone: 781-246-2010 | Fax:781-246-1448 | ||||||||
| Primary Practice Address | 338 MAIN ST STE 301 WAKEFIELD, MA 01880-5042 United States Phone: 781-246-2010 | Fax:781-246-1448 | ||||||||
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