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1306847249
JEFFREY MOSS
HARTFORD, CT
NPI
1306847249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 000079)
Enumeration Date
2005-08-02
Last Update Date
2009-02-27
Business Address
-- JEFFREY MOSS PA
114 WOODLAND ST DEPT OF SURGERY
HARTFORD, CT 06105-1208
Phone number: 860-714-4694
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Mailing Address
-- JEFFREY MOSS PA
1000 ASYLUM AVE SUITE 2109A
HARTFORD, CT 06105-1770
Phone number: 860-714-6581
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