Individual
DR. DENNIS MICHAEL MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9655 LONGSWAMP ROAD, MERTZTOWN, PA 19539-8800
(610) 682-4944
(610) 682-6125
Mailing address
9655 LONGSWAMP ROAD, MERTZTOWN, PA 19539
(610) 682-4944
(610) 682-6125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05008856-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015547380001
—
PA
Enumeration date
09/25/2006
Last updated
07/08/2007
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