Healthcare Provider Details

I. General information

NPI: 1376507889
Provider Name (Legal Business Name): DAVID E. MOLONY L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BRIDGE ST
CATASAUQUA PA
18032-2506
US

IV. Provider business mailing address

101 BRIDGE ST
CATASAUQUA PA
18032-2506
US

V. Phone/Fax

Practice location:
  • Phone: 610-264-2755
  • Fax:
Mailing address:
  • Phone: 610-264-2755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000066L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: