Individual
DR. KURT PAUL MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 GREENRIDGE STREET, SUITE#2, SCRANTON, PA 18509
(570) 585-6700
(570) 585-6714
Mailing address
10 GREEN RIDGE ST, SUITE#2, SCRANTON, PA 18509-1828
(570) 585-6700
(570) 585-6714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040998L
PA
208VP0000X
Pain Medicine Physician
MD040998L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001126
FIRST PRIORITY HEALTH
PA
01
—
010081100
FEDERAL BLACK LUNG
PA
01
—
107989
MEDICARE
PA
01
—
110136508
RAILROAD MEDICARE
PA
01
—
190878
PA BLUE CROSS PERSONAL CHOICE
PA
01
—
507828
AETNA
PA
Enumeration date
03/20/2007
Last updated
08/30/2012
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