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1316931330

NPI Code Detail

MEDICARE: ALICIA ANN MOISE MD

MEDICARE: ALICIA ANN MOISE MD

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
1	2080N0001X	Neonatal-Perinatal Medicine Physician	35078734	OH
2	2080N0001X	Neonatal-Perinatal Medicine Physician	F9839	TX
3	2080N0001X	Neonatal-Perinatal Medicine Physician	26962	WV

Other Identifiers

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

General Provider Information

NPI Number	:	1316931330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA ANN MOISE MD

Provider Business Mailing Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26506-1200
Country	:	US
Telephone Number	:	304-598-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MEDICAL CENTER DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26506-1200
Country	:	US
Telephone Number	:	304-598-4800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	04/13/2022

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1639163538 — WEST VIRGINIA UNIVERSITY HOSPITALS INC
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Directions to “ ALICIA ANN MOISE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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