Moss, Roy L

Moss, Roy L is an individual health care provider with primary practice located at 840 Harrison Ave , Boston MA 02118-2905. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Moss, Roy L can be contacted via phone (617) 638-6610.

Contact Information

Primary practice address
840 Harrison Ave Boston MA 02118-2905
Fax: (617) 638-6616
Website:

Health care specialties

Profile Details

NPI number 1912978172
LBN Legal business name Moss, Roy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Apr 1st, 2024 - about last year

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 1912978172 NPPES
Massachusetts MEDICAID 110161078A
Massachusetts Other 206126
Massachusetts MEDICAID 408338500
Massachusetts Other 2849
Massachusetts MEDICAID 3139893
Massachusetts Other J062
Massachusetts Other 2083615
Massachusetts MEDICAID 102248052
Massachusetts Other 1578951
Massachusetts Other KA80

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