Moskin, Ava R

Moskin, Ava R is an individual health care provider with primary practice located at 443 Congress St 2Nd Floor, Portland ME 04101-3531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moskin, Ava R can be contacted via phone (207) 797-8881.

Contact Information

Primary practice address
443 Congress St 2Nd Floor Portland ME 04101-3531
Phone: (207) 797-8881
Fax: (207) 773-1697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 015890 Maine

Profile Details

NPI number 1457342735
LBN Legal business name Moskin, Ava R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 21st, 2016 - about 10 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 1457342735 NPPES
Maine Other 060449 BLUE CROSS BLUE SHIELD
Maine MEDICAID 290170099 BLUE CROSS BLUE SHIELD

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