Individual
MOIRA E DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1316
(570) 271-6328
(570) 271-6578
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD451908
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00918767
MEDICARE - RAIL ROAD
MN
Enumeration date
07/29/2008
Last updated
02/18/2016
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