Provider Demographics
NPI:1508832718
Name:MOSCA, ROBERT W (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:MOSCA
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1225 E WEISGARBER RD
Mailing Address - Street 2:STE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2604
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:1404 TUSCULUM BLVD
Practice Address - Street 2:SUITE 3100
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4395
Practice Address - Country:US
Practice Address - Phone:423-638-4114
Practice Address - Fax:423-638-1605
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2017-01-17
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Provider Licenses
StateLicense IDTaxonomies
TN2853207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL01575OtherBCBS
FL9619249OtherCIGNA
FLI48682Medicare UPIN
FL9619249OtherCIGNA