Moss, Jeremy Ethan
Moss, Jeremy Ethan is an individual health care provider with primary practice located at 4639 Main St , Bridgeport CT 06606-1838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Moss, Jeremy Ethan can be contacted via phone (203) 374-5546.Contact Information
Primary practice address
4639 Main St
Bridgeport CT 06606-1838
Phone: (203) 374-5546
Fax: (203) 371-4056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 043137 | Connecticut |
Profile Details
| NPI number | 1689625188 |
|---|---|
| LBN Legal business name | Moss, Jeremy Ethan |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 22nd, 2019 - about 7 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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