Organization
ASSOCIATES IN MEDICAL TOXICOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W MOORE DO (PRESIDENT)
(717) 547-5337
Entity
Organization
Contact information
Practice address
716 STATE ST, LEMOYNE, PA 17043-1536
(717) 547-5337
Mailing address
716 STATE ST, LEMOYNE, PA 17043-1536
(717) 547-5337
(717) 609-4669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS015726
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
OS015726
PA
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
OS015726
PA
Other
Enumeration date
07/31/2015
Last updated
04/16/2024
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