Provider Demographics
NPI:1427095462
Name:MOSKOS, MARGO MAGDELANA (MD)
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:MAGDELANA
Last Name:MOSKOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FOX RUN LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-2338
Mailing Address - Country:US
Mailing Address - Phone:978-287-3700
Mailing Address - Fax:
Practice Address - Street 1:EMERSON HOSPITAL
Practice Address - Street 2:133 ORNAC-RADIOLOGY
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-287-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA783602085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology