Moreno, Steven Israel

Moreno, Steven Israel is an individual health care provider with primary practice located at 700 Attucks Ln , Hyannis MA 02601-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Moreno, Steven Israel can be contacted via phone (508) 771-7790.

Contact Information

Primary practice address
700 Attucks Ln Hyannis MA 02601-1809
Phone: (508) 771-7790
Fax: (508) 771-7793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 222953 Massachusetts

Profile Details

NPI number 1679597926
LBN Legal business name Moreno, Steven Israel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 15th, 2007 - about 19 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 1679597926 NPPES
Other 3694678 AETNA
Other J28297 AETNA
Other AA22039 AETNA
MEDICAID 2094037 AETNA
Other 2276418 AETNA
Other A37939 AETNA
Other J28297 AETNA
Other 6419848 AETNA

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