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Individual
MR. PETER J MOLEY
Active
Individual
MR. PETER J MOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
040335
CT
174400000X
Specialist
221024
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
040335
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801J1
—
NY
01
—
P2711804
OXFORD
CT
01
—
P2711804
OXFORD
NY
Enumeration date
01/03/2007
Last updated
09/03/2015
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