Individual
MANUEL V MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-4243
Mailing address
PO BOX 56, MONTOURSVILLE, PA 17754-0056
(570) 323-8091
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD038231L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010564680003
—
PA
Enumeration date
04/01/2006
Last updated
05/19/2008
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