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Organization
MARTIN J. MORAN SR., D.O., P.C.
Active
Organization
MARTIN J. MORAN SR., D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY GNALL (OFFICE MANAGER)
(570) 457-7493
Entity
Organization
Contact information
Practice address
824 MCALPINE ST, AVOCA, PA 18641-1140
(570) 457-7493
(570) 457-6710
Mailing address
824 MCALPINE ST, AVOCA, PA 18641-1140
(570) 457-7493
(570) 457-6710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-009468-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001750669001
—
PA
01
—
026130
MEDICARE
PA
Enumeration date
09/14/2007
Last updated
03/05/2010
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