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Individual

DANIEL MARK MOSCOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1244 FORT WASHINGTON AVE STE E2, FORT WASHINGTON, PA 19034-1743
(215) 646-1686
(215) 628-4956
Mailing address
1244 FORT WASHINGTON AVE STE E2, FORT WASHINGTON, PA 19034-1743
(215) 646-1686
(215) 628-4956

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD060189-L
PA
207Q00000X
Family Medicine Physician
MD060189L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001669066
PA
Enumeration date
06/05/2006
Last updated
07/21/2022
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