Provider Demographics
NPI:1851637276
Name:MOSS, JOEL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:MOSS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ROOM 6D05 BLDG 10
Mailing Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1590
Mailing Address - Country:US
Mailing Address - Phone:301-496-1597
Mailing Address - Fax:301-496-2363
Practice Address - Street 1:ROOM 6D05 BLDG 10
Practice Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1590
Practice Address - Country:US
Practice Address - Phone:301-496-1597
Practice Address - Fax:301-496-2363
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0016377207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease