Basic Information
| Provider Information | |||||||||
| NPI: | 1427468958 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOSKOWITZ | ||||||||
| FirstName: | ADAM | ||||||||
| MiddleName: | JASON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 160 DENTAL CIRCLE, CAMPUS BOX 7075 | ||||||||
| Address2: | 6TH FLOOR BURNETT-WOMACK BUILDING | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997075 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199665201 | ||||||||
| FaxNumber: | 9199661743 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 MANNING DR | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275144220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849741000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2014 | ||||||||
| LastUpdateDate: | 10/20/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2017-00971 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0300X | 2017-00971 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine | 207RC0000X | 2017-00971 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.