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NPI Code Detail

MEDICARE: PETER G MOYER M.D.

MEDICARE: PETER G MOYER M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianMD470410PA

General Provider Information

NPI Number : 1942590013
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER G MOYER M.D.
Provider Business Mailing Address
First Line : 304 N WATER ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3374
Country : US
Telephone Number : 717-299-6371
Fax Number : 717-945-1587
Provider Business Practice Location Address
First Line : 304 N WATER ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3374
Country : US
Telephone Number : 717-299-6371
Fax Number : 717-945-1587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 07/29/2020

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