Individual
JOSEPHINE MOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 953-7506
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 953-7506
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT221110
PA
207RP1001X
Pulmonary Disease Physician
Primary
MT221110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01077201
RAILROAD MEDICARE
MD
01
—
P01175363 - CH7433
RAILROAD MEDICARE
MD
Enumeration date
01/12/2010
Last updated
11/09/2023
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