Individual provider · Type 1 NPI

Jeffrey Moss, PA

Surgical Physician Assistant · Hartford, CT

NPI number 1306847249 Active

Practice location

114 Woodland St, Dept Of Surgery
Hartford, CT 06105-1208

Call (860) 714-4694 Map

Fax (860) 714-8096

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000079 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1306847249

Jeffrey Moss, PA's National Provider Identifier is 1306847249, issued on Aug 2, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Feb 27, 2009.