Moreno, Jose G

Moreno, Jose G is an individual health care provider with primary practice located at 20 Sunnybrook Rd , Pottstown PA 19464-3213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moreno, Jose G can be contacted via phone (610) 323-5550.

Contact Information

Primary practice address
20 Sunnybrook Rd Pottstown PA 19464-3213
Fax: (610) 327-4651
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD045118L Pennsylvania

Profile Details

NPI number 1699768184
LBN Legal business name Moreno, Jose G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Apr 12th, 2017 - about 8 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 1699768184 NPPES
Pennsylvania MEDICAID 0015309050002

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