Provider Demographics
NPI:1003874959
Name:MOSES, HAMILTON III (MD)
Entity Type:Individual
Prefix:
First Name:HAMILTON
Middle Name:
Last Name:MOSES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:NORTH GARDEN
Mailing Address - State:VA
Mailing Address - Zip Code:22959-0150
Mailing Address - Country:US
Mailing Address - Phone:434-984-2016
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE STREET
Practice Address - Street 2:THE JOHNS HOPKINS HOSPITAL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0000
Practice Address - Country:US
Practice Address - Phone:434-984-2016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1549722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology