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Individual

AYESHA MOGHUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822-0001
(570) 271-6211
Mailing address
44 CHERRY STREET, UNIT B, DANVILLE, PA 17821-0001
(510) 825-1010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
283809
MA
207R00000X
Internal Medicine Physician
Primary
C1-0024241
DE

Other

Enumeration date
03/29/2016
Last updated
06/03/2021
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