Individual
ALAN S MOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39TH AND MARKET ST, 4 PHI, PHILADELPHIA, PA 19104
(215) 662-9000
(215) 243-4611
Mailing address
51 N 39TH ST, 4 PHI, PHILADELPHIA, PA 19104-2640
(215) 662-9189
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD035678E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008434220002
—
PA
Enumeration date
07/07/2006
Last updated
07/18/2018
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