Charles E Moisan in Elizabethtown - Internal Medicine
Charles E Moisan - NPI 1538114855
Charles E Moisan is a Internal Medicine in Elizabethtown, New York. Charles E Moisan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Charles E Moisan is 1538114855. The last update date is 2018-09-14.
Charles E Moisan's current location address is 74 Park St, Elizabethtown, New York. You can contact this provider via phone number 5188736340 and fax number 5188732499. The mailing address for Charles E Moisan is 74 Park St, Elizabethtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles E Moisan |
|---|---|
| Address | 74 Park St, Elizabethtown, New York |
| Phone Number | 5188736340 |
| Fax Number | 5188732499 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538114855 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2018-09-14 |
Provider Mailing Address Detail
| Address | 74 Park St |
|---|---|
| City | Elizabethtown |
| State | New York (NY) |
| Post Code | 129322303 |
| Phone Number | 5188736340 |
| Fax Number | 5188732499 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 102273 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 636686 | NY | -- | |
| 111002291 | NY | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles E Moisan?
The Charles E Moisan has been issued the NPI (National Provider Identifier) 1538114855 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Charles E Moisan is physically located?
The Charles E Moisan is situated at the following address: 74 Park St, Elizabethtown, NY 129322303.
What is the Charles E Moisan's specialty and taxonomy code?
The Charles E Moisan's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538114855 to Charles E Moisan?
The Centers for Medicare & Medicaid Services originally issued the 1538114855 to Charles E Moisan on 2006-05-24.
As of what date were the details related to Charles E Moisan most recently updated or revised?
The information pertaining to Charles E Moisan, including its address, specialty, and other relevant details, was last updated or revised on 2018-09-14.