Organization
HUNTINGDON VALLEY SURGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MOORE (PRESIDENT)
(215) 887-3565
Entity
Organization
Contact information
Practice address
1208 HIGHLAND AVE, ABINGTON, PA 19001-3706
(215) 887-3565
Mailing address
1208 HIGHLAND AVE, ABINGTON, PA 19001-3706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD025657E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012574100008
—
PA
05
—
0018609380001
—
PA
01
—
020039062
RR MEDICARE/DR. MOORE
PA
01
—
0532700000
KEYSTONE
PA
01
—
1002111
AETNA
PA
01
—
1087030002
CIGNA/DR. MOORE
PA
01
—
265028
BCBS
PA
Enumeration date
07/06/2006
Last updated
03/08/2011
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