Charles E Moisan Jr MD PC

NPI #1396064416 in Elizabethtown, New York

Provider Information

NPI Number: 1396064416
Entity Type: Organization
Organization Name: Charles E Moisan Jr MD PC
Primary Specialty: Internal Medicine
Enumeration Date: May 28, 2010
Last Updated: Jun 1, 2010

Practice Location

Address: 80 PARK ST
City: Elizabethtown
State: New York
ZIP Code: 12932-2304
Phone: (518) 873-6340

Authorized Official

Name: DIANNE C AHRENT
Title: OFFICE MANAGER
Phone: (518) 562-3204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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