Basic Information
Provider Information
NPI: 1083908867
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOSKOWITZ
FirstName: ARI
MiddleName: LEV
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 141 LONGWATER DRIVE
Address2: LOFT, SUITE 201
City: NORWELL
State: MA
PostalCode: 02060
CountryCode: US
TelephoneNumber: 7817924136
FaxNumber: 7818786750
Practice Location
Address1: 55 FOGG ROAD
Address2:  
City: WEYMOUTH
State: MA
PostalCode: 02190
CountryCode: US
TelephoneNumber: 7816248000
FaxNumber: 7818786750
Other Information
ProviderEnumerationDate: 06/08/2011
LastUpdateDate: 10/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X258065MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207R00000X248164MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207LC0200X258065MAY Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine

No ID Information.


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