Individual
MR. PETER J MOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BLACHLEY ROAD, STAMFORD, CT 06902
(203) 705-2120
(646) 797-8866
Mailing address
1 BLACHLEY ROAD, STAMFORD, CT 06902
(203) 705-2349
(646) 797-8866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
040335
CT
174400000X
Specialist
221024
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
040335
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801J1
—
NY
01
—
P2711804
OXFORD
CT
01
—
P2711804
OXFORD
NY
Enumeration date
01/03/2007
Last updated
09/03/2015
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