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Individual

ALLEN J MOIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8149 MANDAN TER, GREENBELT, MD 20770-2643
(301) 441-8632
Mailing address
8149 MANDAN TER, GREENBELT, MD 20770-2643
(301) 441-8632

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00417
MD
213E00000X
Podiatrist
0103000366
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PRJ67L2
SUBMITTER I.D. WITH HIGHMARK
DC
Enumeration date
07/28/2006
Last updated
08/05/2008
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