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NPI Code Detail

MEDICARE: MOSES CONE PHYSICIAN SERVICES INC

MEDICARE: MOSES CONE PHYSICIAN SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207RR0500XRheumatology Physician
3208100000XPhysical Medicine & Rehabilitation Physician
4363A00000XPhysician Assistant
5207X00000XOrthopaedic Surgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DO8534OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497126114
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOSES CONE PHYSICIAN SERVICES INC
Provider Business Mailing Address
First Line : 300 W NORTHWOOD ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1324
Country : US
Telephone Number : 336-275-0927
Fax Number : 336-275-4834
Provider Business Practice Location Address
First Line : 300 W NORTHWOOD ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1324
Country : US
Telephone Number : 336-275-0927
Fax Number : 336-275-4834
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : ROBERT LEE GOLDSTEIN
Credential :
Telephone Number : 336-832-6250
Provider Enumeration Date : 10/08/2015
Last Update Date : 04/14/2016

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Directions to “MOSES CONE PHYSICIAN SERVICES INC ” Practice Location

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