Moley, Peter J

Moley, Peter J is an sole proprietor health care provider with primary practice located at 1 Blachley Road , Stamford CT 06902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Moley, Peter J can be contacted via phone (203) 705-2120.

Contact Information

Primary practice address
1 Blachley Road Stamford CT 06902
Phone: (203) 705-2120
Fax: (646) 797-8866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 040335 Connecticut
Other Service Providers / Specialist 174400000X 221024 New York
Other Service Providers / Specialist 174400000X 040335 Connecticut

Profile Details

NPI number 1205993409
LBN Legal business name Moley, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Sep 3rd, 2015 - about 10 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 1205993409 NPPES
New York MEDICAID 0801J1
New York Other P2711804
New York Other P2711804

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