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1093726523
RICHARD E MOOSE
BINGHAMTON, NY
NPI
1093726523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 203760-1)
Enumeration Date
2006-08-10
Last Update Date
2021-03-01
Business Address
RICHARD E MOOSE MD
DECKER STUDENT HEALTH SERVICES CENTER 4400 VESTAL PARKWAY EAST
BINGHAMTON, NY 13902
Phone number: 607-777-2221
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Mailing Address
RICHARD E MOOSE MD
4400 VESTAL PKWY E
BINGHAMTON, NY 13902-4400
Phone number: 607-777-2221
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