Individual
JEFFREY ALAN MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6693
Mailing address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6693
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS019492
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
02/28/2014
Last updated
09/21/2019
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