Provider Demographics
NPI:1023205556
Name:MOSSOP, EDWARD PETER (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:PETER
Last Name:MOSSOP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8700 BEVERLY BLVD
Mailing Address - Street 2:BECKER BUILDING
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-423-3277
Mailing Address - Fax:
Practice Address - Street 1:ONE GUSTAVE L LEVY PLACE
Practice Address - Street 2:MOUNT SINAI
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10129
Practice Address - Country:US
Practice Address - Phone:212-241-8867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2024-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA105836208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)