Moss, Roberta J
Moss, Roberta J is an individual health care provider with primary practice located at 65 Kane St , West Hartford CT 06119-2110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Moss, Roberta J can be contacted via phone (860) 523-6436.Contact Information
Primary practice address
65 Kane St
West Hartford CT 06119-2110
Phone: (860) 523-6436
Fax: (860) 523-3775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 029310 | Connecticut |
Profile Details
| NPI number | 1235135864 |
|---|---|
| LBN Legal business name | Moss, Roberta J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Sep 12th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235135864 | NPPES |
| Connecticut | MEDICAID | 1293109 |
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