Provider Demographics
NPI:1073587739
Name:MOSER, ARTHUR JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JAMES
Last Name:MOSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:A
Other - Middle Name:JAMES
Other - Last Name:MOSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:STONEMAN-9 ADMINISTRATIVE OFFICE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-3746
Mailing Address - Fax:617-667-7756
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:STONEMAN-9 ADMINISTRATIVE OFFICE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-3746
Practice Address - Fax:617-667-7756
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059312L174400000X, 2086X0206X
MA2505472086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001597000Medicaid
PAF11759Medicare UPIN
PA880503FKYMedicare ID - Type Unspecified