# DR. PETER CHARLES MORAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538127865
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13072 | NH | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 06/10/2025

## 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 |