Whalio Doctors

NPI 1043215841

Jonathan R Moldover, MD

Practitioner Physical Medicine & Rehabilitation Physician Longmeadow, MA

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 262755 (MA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Allopathic & Osteopathic Physicians Taxonomy 2081P2900X Licence 262755 (MA)

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.