Individual
DAVID J MOYLAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 ALLIANCE ST, NEW PHILADELPHIA, PA 17959-1101
(570) 277-6218
(570) 277-6398
Mailing address
PO BOX 441, NEW PHILADELPHIA, PA 17959-0441
(570) 277-6218
(570) 277-6398
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD020915E
PA
2085R0203X
Therapeutic Radiology Physician
MD 020915 E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000863185
—
PA
Enumeration date
09/13/2005
Last updated
11/04/2013
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