Moscow, Daniel Mark

Moscow, Daniel Mark is an individual health care provider with primary practice located at 1244 Fort Washington Ave Ste E2 , Fort Washington PA 19034-1743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moscow, Daniel Mark can be contacted via phone (215) 646-1686.

Contact Information

Primary practice address
1244 Fort Washington Ave Ste E2 Fort Washington PA 19034-1743
Fax: (215) 628-4956
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD060189L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD060189-L Pennsylvania

Profile Details

NPI number 1124067350
LBN Legal business name Moscow, Daniel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 21st, 2022 - about 3 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 1124067350 NPPES
Pennsylvania MEDICAID 001669066

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