| Carlos Moreno Md And Assc Pc | |
|
825 Washington St Suite 300 Norwood MA 02062-3441 | |
| (781) 769-0552 | |
| Not Available |
| Full Name | Carlos Moreno Md And Assc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 825 Washington St, Norwood, Massachusetts |
| Authorized Official Name and Position | Carlos Moreno (PRESIDENT OWNER) |
| Authorized Official Contact | 7817690552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Moreno Md And Assc Pc Po Box 575 Norwood MA 02062-0575 Ph: (781) 769-0552 | Carlos Moreno Md And Assc Pc 825 Washington St Suite 300 Norwood MA 02062-3441 Ph: (781) 769-0552 |
| NPI Number | 1699816520 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 07/12/2010 |
| Medicare PECOS PAC ID | 9133281876 |
|---|---|
| Medicare Enrollment ID | O20081215000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699816520 | NPI | - | NPPES |
| 9774815 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 60414 (Massachusetts) | Primary |
| Provider Name | Carlos Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144316902 PECOS PAC ID: 1759325905 Enrollment ID: I20050617000553 |
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