Bird, Charrell Moyo

Bird, Charrell Moyo is an individual health care provider with primary practice located at 1505 W Sherman Ave Pediatrix Medical Group, Vineland NJ 08360-7059. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bird, Charrell Moyo can be contacted via phone (856) 845-0100.

Contact Information

Primary practice address
1505 W Sherman Ave Pediatrix Medical Group Vineland NJ 08360-7059
Phone: (856) 845-0100
Fax: (302) 651-4945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD424309 Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 25MA09387400 New Jersey

Profile Details

NPI number 1184701369
LBN Legal business name Bird, Charrell Moyo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184701369 NPPES
Pennsylvania MEDICAID 1018646620001

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