Provider Demographics
NPI:1760653745
Name:THIGA, MOSES KURIA
Entity Type:Individual
Prefix:MR
First Name:MOSES
Middle Name:KURIA
Last Name:THIGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 COCHRANE CIR
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3111
Mailing Address - Country:US
Mailing Address - Phone:978-682-8644
Mailing Address - Fax:
Practice Address - Street 1:19 COCHRANE CIR
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3111
Practice Address - Country:US
Practice Address - Phone:978-682-8644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA266697163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine