Provider Demographics
NPI:1740359017
Name:ALBERT, MOSES K (MD)
Entity type:Individual
Prefix:
First Name:MOSES
Middle Name:K
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6931
Mailing Address - Country:US
Mailing Address - Phone:301-951-7905
Mailing Address - Fax:301-951-7011
Practice Address - Street 1:5454 WISCONSIN AVE STE 1400
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6931
Practice Address - Country:US
Practice Address - Phone:301-951-7905
Practice Address - Fax:301-951-7011
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101033804207N00000X
MDD0029651207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC003279M66Medicare PIN