Individual
DONALD F MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
236 HIGHLAND AVE, SOMERVILLE HOSPITAL, SOMERVILLE, MA 02143-1495
(617) 591-4920
Mailing address
236 HIGHLAND AVE, SOMERVILLE HOSPITAL, SOMERVILLE, MA 02143-1495
(617) 591-4920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155180
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3175944
—
MA
01
—
J18737
BCBS MA
MA
Enumeration date
05/31/2006
Last updated
11/28/2007
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