Doctor Name: | VIRGINIA MOSIER |
NPI Number: | 1033531173 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNIM |
License Number: | 1526 |
Business Practice Address: | 1086 Teaneck Rd Suite 4a Teaneck, NJ - 076664854 |
Business Phone Number: | 2018629900 |
Business Fax Number: | 2018629136 |
Mailing Address: | 56 W Rambo St, BRIDGEPORT |
State: | PA |
Postal Code: | 194051126 |
Phone Number: | 6106136068 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2014 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | 1526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |