Individual
JOHN PHILLIP MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 LIFE MARK DR, SELLERSVILLE, PA 18960-1598
(215) 257-1127
(215) 257-0129
Mailing address
3 LIFE MARK DR, SELLERSVILLE, PA 18960-1598
(215) 257-1127
(215) 257-0129
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD013017E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009485400002
—
PA
01
—
BU895969
MEDICARE GROUP NUMBER
PA
01
—
MO024927
BLUE SHIELD
PA
Enumeration date
07/29/2005
Last updated
11/20/2009
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