Healthcare Provider Details

I. General information

NPI: 1528992005
Provider Name (Legal Business Name): THOMAS MOSMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 LEONARD AVE STE 200
WASHINGTON PA
15301-3368
US

IV. Provider business mailing address

3600 FORBES AVE STE 140P
PITTSBURGH PA
15213-3410
US

V. Phone/Fax

Practice location:
  • Phone: 724-223-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT237913
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: