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Individual
DR. PETER CHARLES MORAN
Active
Individual
DR. PETER CHARLES MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13072
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069207
BCBS OF VT PROV #
VT
01
—
01YP05246MA02
BCBS OF NH PROV#
NH
05
—
1012501
—
VT
01
—
200999212
TAX ID
NH
05
—
30206064
—
NH
01
—
3846319
CIGNA PROV #
NH
01
—
4149147
MVP
NH
01
—
71840
HPHC PROV #
NH
01
—
8001191
LADIES FIRST ID#
VT
01
—
RE8678
NHIC PROV #
NH
Enumeration date
05/03/2006
Last updated
06/10/2025
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