Individual
MARK L MOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 WALNUT ST STE 930, PHILADELPHIA, PA 19107-5109
(215) 928-3130
(215) 592-1923
Mailing address
840 WALNUT ST STE 930, PHILADELPHIA, PA 19107-5109
(215) 928-3130
(215) 592-1923
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
MD024148E
PA
2084N0400X
Neurology Physician
MD024148E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009685800003
—
PA
Enumeration date
03/09/2006
Last updated
05/22/2019
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