Organization
CAROLINA DEVELOPMENTAL PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L MORAN M.D. (DOCTOR)
(919) 362-5406
Entity
Organization
Contact information
Practice address
1001 W WILLIAMS ST, SUITE 104, APEX, NC 27502-3978
(919) 362-5406
(919) 362-5409
Mailing address
1001 W WILLIAMS ST, SUITE 104, APEX, NC 27502-3978
(919) 362-5406
(919) 362-5409
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
200100579
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285H
BCBS
—
05
—
891285H
—
NC
Enumeration date
09/29/2015
Last updated
12/07/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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