Moraitis, Philip
Moraitis, Philip is an individual health care provider with primary practice located at 3640 Main St Suite 205, Springfield MA 01107-1145. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moraitis, Philip can be contacted via phone (413) 739-7367.Contact Information
Primary practice address
3640 Main St Suite 205
Springfield MA 01107-1145
Phone: (413) 739-7367
Fax: (413) 737-2686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 79560 | Massachusetts |
Profile Details
| NPI number | 1396730172 |
|---|---|
| LBN Legal business name | Moraitis, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | May 23rd, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396730172 | NPPES |
| Massachusetts | Other | 779560 | CONNECTICARE |
| Massachusetts | Other | J14560 | CONNECTICARE |
| Massachusetts | Other | 079560 | CONNECTICARE |
| Massachusetts | Other | P1644826 | CONNECTICARE |
| Massachusetts | Other | 0115328 | CONNECTICARE |
| Massachusetts | Other | 3152250002 | CONNECTICARE |
| Massachusetts | Other | 010079560MA01 | CONNECTICARE |
| Massachusetts | Other | 151179 | CONNECTICARE |
| Massachusetts | Other | 180026086 | CONNECTICARE |
| Massachusetts | Other | 080434 | CONNECTICARE |
| Massachusetts | Other | 18478 | CONNECTICARE |
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