Individual
EUGENE MOCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4170 CITY AVE, SUITE 205, PHILADELPHIA, PA 19131-1610
(484) 682-8109
(215) 871-6781
Mailing address
4170 CITY AVE, SUITE 205, PHILADELPHIA, PA 19131-1610
(484) 682-8109
(215) 871-6781
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS004002L
PA
Other
Enumeration date
01/04/2012
Last updated
09/20/2012
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