# MR. PETER J MOLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205993409
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 040335 | CT | — |
| 174400000X | Specialist | 221024 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 040335 | CT | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 09/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0801J1 | — | NY |
| 01 | — | P2711804 | OXFORD | CT |
| 01 | — | P2711804 | OXFORD | NY |