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NPI Code Detail

MEDICARE: JUDE ANTHONY POLIT MORAN MD

MEDICARE: JUDE ANTHONY POLIT MORAN 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
1207P00000XEmergency Medicine PhysicianMD493255PA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942991575
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDE ANTHONY POLIT MORAN MD
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-703-7400
Fax Number : 570-703-7498
Provider Business Practice Location Address
First Line : 1800 MULBERRY ST
Second Line :
City : SCRANTON
State : PA
Zip : 18510-2369
Country : US
Telephone Number : 570-703-7400
Fax Number : 570-703-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2023
Last Update Date : 07/01/2026

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Directions to “ JUDE ANTHONY POLIT MORAN MD” Practice Location

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