Individual
MR. PETER J MOTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1260 VALLEY FORGE RD, STE 101, PHOENIXVILLE, PA 19460-2691
(610) 983-3980
(610) 983-3406
Mailing address
1260 VALLEY FORGE RD, STE 101, PHOENIXVILLE, PA 19460-2691
(610) 983-3980
(610) 983-3406
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD037752E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070011011
RAIL ROAD MEDICARE
PA
Enumeration date
11/10/2005
Last updated
07/28/2008
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