Moss, David Russell

Moss, David Russell is an individual health care provider with primary practice located at 800 Washington St Box 298, Boston MA 02111-1552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Moss, David Russell can be contacted via phone (617) 636-6044.

Contact Information

Primary practice address
800 Washington St Box 298 Boston MA 02111-1552
Phone: (617) 636-6044
Fax: (617) 636-8384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 239306 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 239306 Massachusetts

Profile Details

NPI number 1801922547
LBN Legal business name Moss, David Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Nov 7th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801922547 NPPES
Massachusetts MEDICAID 110083132/A

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