Provider Demographics
NPI:1902917255
Name:MOSCATO, EVE ELISA (MD)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:ELISA
Last Name:MOSCATO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:DEPT OPHTHALMOLOGY 4M31
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-6340
Mailing Address - Country:US
Mailing Address - Phone:415-206-8304
Mailing Address - Fax:
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:DEPT OPHTHALMOLOGY 4M31
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-6340
Practice Address - Country:US
Practice Address - Phone:415-206-8304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102366207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology