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NPI Code Detail

MEDICARE: RONALD L MOSIELLO D.O.

MEDICARE:   RONALD L MOSIELLO  D.O.
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
1204D00000XNeuromusculoskeletal Medicine & OMM Physician1650ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932185642
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD L MOSIELLO D.O.
Provider Business Mailing Address
First Line : 1232 PORTLAND RD STE 5
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8104
Country : US
Telephone Number : 207-464-9081
Fax Number : 866-870-3254
Provider Business Practice Location Address
First Line : 1232 PORTLAND RD STE 5
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8104
Country : US
Telephone Number : 207-464-9081
Fax Number : 866-870-3254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 08/16/2022

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Directions to “ RONALD L MOSIELLO D.O.” Practice Location

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