Individual
DR. JOSEPH J MORAN
Active
Individual
DR. JOSEPH J MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
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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