NPI 1043215841
Jonathan R Moldover, MD
Practice location
- Address
- 21 Dwight Road STE 104, Longmeadow, MA 01106
- Phone
- (413) 794-5600
- Fax
- (413) 794-2733
- Mailing address
- 280 Chestnut St 2nd Floor, Springfield, MA 01199-1001
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1043215841
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jun 2005
- Record last updated
- 26 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.