MEDICARE: MICHELLE MORESCHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MD048628L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0844049000	OTHER	PA	INDEPENDENCE BLUE CROSS
2	157056201	OTHER	PA	AMERICHOICE
3	30030535	OTHER	PA	KEYSTONE MERCY
4	1735987	OTHER	PA	UNITED HEALTHCARE
5	811309	OTHER	PA	HIGHMARK
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	09391	OTHER	PA	HEALTH PARTNERS

General Provider Information

NPI Number	:	1083607394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MORESCHI MD

Provider Business Mailing Address
First Line	:	801 W GIRARD AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19122-4212
Country	:	US
Telephone Number	:	215-787-9000
Fax Number	:	215-787-9398

Provider Business Practice Location Address
First Line	:	1600 W GIRARD AVE
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19130-1615
Country	:	US
Telephone Number	:	215-787-9000
Fax Number	:	215-787-9398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	11/15/2010

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Directions to “ MICHELLE MORESCHI MD” Practice Location

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