Individual
DR. TERENCE MOODY DEVINE
Active
Individual
DR. TERENCE MOODY DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
131307-1
NY
207W00000X
Ophthalmology Physician
Primary
MD028357E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00009003960001
—
PA
05
—
00627770
—
NY
01
—
180040307
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039847
MEDICARE GROUP
PA
01
—
P00258515
RR MEDICARE PIN
NY
Enumeration date
02/21/2006
Last updated
01/09/2019
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