Individual
DR. JOSEPH J MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1730 HENDERSON ST, STE B, COLUMBIA, SC 29201
(803) 376-1717
(803) 376-1716
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00151
SC
213ES0131X
Foot Surgery Podiatrist
Primary
00151
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD1517
—
SC
01
—
U447656311
MEDICARE ID
SC
Enumeration date
03/18/2006
Last updated
08/07/2024
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