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Individual

STEVEN D. MOONBLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD424884
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07645
HEALTH PARTNERS
PA
01
101313156-01
AMERICHOICE FRANKFORD
PA
01
101313156-02
AMERICHOICE BUCKS
PA
01
101313156-03
AMERICHOICE TORRESDALE
PA
05
1013131560001
PA
05
1013131560002
PA
05
1013131560003
PA
01
1742994
HIGHMARK BLUE SHIELD
PA
01
20045154
AMERIHEALTH MERCY
PA
01
2408786000
PERSONAL CHOICE
PA
01
2488640
CIGNA
PA
01
2608207
UNITED HEALTHCARE
PA
01
30025562
KEYSTONE MERCY
PA
01
452729
AETNA CONTRACT
PA
01
P00265223
RAILROAD MEDICARE
PA
Enumeration date
07/20/2006
Last updated
07/12/2007
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