Moldover, Jonathan R

Moldover, Jonathan R is an individual health care provider with primary practice located at 21 Dwight Road Ste 104, Longmeadow MA 01106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Moldover, Jonathan R can be contacted via phone (413) 794-5600.

Contact Information

Primary practice address
21 Dwight Road Ste 104 Longmeadow MA 01106
Phone: (413) 794-5600
Fax: (413) 794-2733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 262755 Massachusetts
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 262755 Massachusetts

Profile Details

NPI number 1043215841
LBN Legal business name Moldover, Jonathan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Dec 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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