Basic Information
Provider Information
NPI: 1740267095
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOSKAL
FirstName: JOSEPH
MiddleName: TUVIA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2331 FRANKLIN RD SW
Address2:  
City: ROANOKE
State: VA
PostalCode: 240141111
CountryCode: US
TelephoneNumber: 5407251226
FaxNumber: 5408575306
Practice Location
Address1: 2331 FRANKLIN RD SW
Address2:  
City: ROANOKE
State: VA
PostalCode: 240141111
CountryCode: US
TelephoneNumber: 5407251226
FaxNumber: 5408575306
Other Information
ProviderEnumerationDate: 12/28/2005
LastUpdateDate: 03/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XS0114X0101034885VAY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery

ID Information
IDTypeStateIssuerDescription
174026709501VAHEALTHKEEPERSOTHER
174026709501VAHEALTHKEEPERS PLUSOTHER
174026709501VAHUMANA MEDICAREOTHER
P0083111101VARAILROAD MEDICAREOTHER
174026709501VAUMWAOTHER
37119470001VABLACK LUNGOTHER
54050633211501VATRICARE/CHAMPUSOTHER
174026709501VAOPTIMA HEALTH PLANOTHER
174026709501VAGATEWAYOTHER
174026709501VAUNITED HEALTHCAREOTHER
174026709501VAAETNAOTHER
174026709501VASOUTHERN HEALTH/CARENET/CARELINK/COVENTRYOTHER
174026709501VAINTOTALOTHER
174026709501VAVA PREMIEROTHER
174026709501VAANTHEMOTHER
174026709501VACIGNAOTHER
174026709501VAVIRGINIA HEALTH NETWORKOTHER


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