Individual
MELVIN L MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 S BROAD ST, SUITE 201, PHILADELPHIA, PA 19148-3542
(215) 952-9919
(215) 952-1431
Mailing address
2301 S BROAD ST, SUITE 201, PHILADELPHIA, PA 19148-3542
(215) 952-9919
(215) 952-1431
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD006960E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000598907 0008
—
PA
05
—
8977305
—
NJ
Enumeration date
06/13/2006
Last updated
01/22/2008
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