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MARK MOSS PH.D.
NPI 1174586382
Psychiatry & Neurology - Neurology in Boston, MA

Active since April 10, 2006
720 HARRISON AVE, SUITE 707, BOSTON, MA 02118(617) 638-8456(617) 638-8465 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Moss Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK MOSS PH.D. (NPI 1174586382) is an individual neurology provider in Boston, Massachusetts, licensed in Massachusetts (3324) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1174586382
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMARK MOSSCredential: PH.D.
Location Address720 HARRISON AVE, SUITE 707Boston, MA 02118-2371
Mailing Address720 Harrison Ave, Suite 707Boston, MA 02118-2371 · (617) 638-8456 · Fax (617) 638-8465
Phone(617) 638-8456
Fax(617) 638-8465
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateAugust 14, 2007
✔ NPI 1174586382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 3324
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
720 HARRISON AVE, Boston, MA 02118
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Other Identifiers 2

Medicaid0516554MA
Medicare ID-Type UnspecifiedW03683MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VICTORIA Y ANDINO
Pharmacy Technician
720 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-8130
ZOE ANN SIMONTON PA
Physician Assistant (Surgical)
720 HARRISON AVE, DOB-503
BOSTON, MA 02118
Suffolk County (617) 414-5405
DR. STANLEY H. DUCHARME PH.D.
Psychologist (Clinical)
720 HARRISON AVE, SUITE 606
BOSTON, MA 02118
Suffolk County (617) 638-7358
KRISTEN K JEFFREY CPHT
Pharmacy Technician
720 HARRISON AVE, DOCTORS OFFICE BUILDING
BOSTON, MA 02118
Suffolk County (617) 638-8130
DR. MARY ELLEN MENKEN PH.D.
Psychologist (Clinical)
720 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-7428
CHIUNG-HUI PENG MD
Student in an Organized Health Care Education/Training Program
720 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-7470
DR. DAVID BREWSTER HATHAWAY JR. M.D.
Psychiatry & Neurology (Psychiatry)
720 HARRISON AVE, DOB-915
BOSTON, MA 02118
Suffolk County (617) 638-8540
JEROME E. SOBIERAJ MD
Internal Medicine
720 HARRISON AVE, DOB 5
BOSTON, MA 02118
Suffolk County (617) 638-7998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Moss's NPI number?

The NPI number for Mark Moss is 1174586382. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Mark Moss located?

Mark Moss practices at 720 Harrison Ave Suite 707, Boston, MA 02118. The listed phone number is (617) 638-8456.

What is Mark Moss's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Mark Moss was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.