Individual
MARK E MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1204 DELAWARE AVE, FOUNTAIN HILL, PA 18015-4119
(610) 628-2022
(610) 628-2022
Mailing address
1204 DELAWARE AVE, FOUNTAIN HILL, PA 18015-4119
(610) 628-2022
(610) 628-4966
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS006169L
PA
Other
Enumeration date
07/28/2005
Last updated
11/21/2019
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