Individual
PETER M MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
397 LITTLE NECK RD, 3300 SOUTH BLDG, SUITE 100, VIRGINIA BEACH, VA 23452
(757) 470-5570
(757) 227-3377
Mailing address
397 LITTLE NECK RD, SUITE 100, VIRGINIA BEACH, VA 23452-5765
(757) 470-5570
(757) 227-3377
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101051511
VA
2086S0129X
Vascular Surgery Physician
59179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007313837
—
VA
01
—
020054467
MEDICARE RAILROAD
—
Enumeration date
02/03/2006
Last updated
09/24/2020
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