Individual
DR. MARY MARGARET MORAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 N BROAD ST, PHILADELPHIA, PA 19107-1511
(215) 523-6601
Mailing address
210 PINE ST, PHILADELPHIA, PA 19106-4314
(215) 762-3500
(215) 762-1639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD046318L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012994930007
—
PA
Enumeration date
05/05/2006
Last updated
07/08/2007
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