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
Phone: (215) 646-1686
Fax: (215) 628-4956
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124067350 | NPPES |
Pennsylvania | MEDICAID | 001669066 |
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