Individual
GLENN E MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 DELAWARE AVE, BETHLEHEM, PA 18015-1178
(610) 868-2235
(610) 868-9453
Mailing address
804 DELAWARE AVE, BETHLEHEM, PA 18015-1178
(610) 868-2235
(610) 868-9453
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD 017003E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00686680
—
PA
01
—
441183668
RR MEDICARE
—
Enumeration date
08/02/2005
Last updated
05/21/2008
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