Healthcare Provider Details

I. General information

NPI: 1326030081
Provider Name (Legal Business Name): JAMES E MOSHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 GOOD HOPE RD STE 201
ENOLA PA
17025-1233
US

IV. Provider business mailing address

1824 GOOD HOPE ROAD SUITE 201
ENOLA PA
17025-1233
US

V. Phone/Fax

Practice location:
  • Phone: 717-791-2680
  • Fax: 717-791-2686
Mailing address:
  • Phone: 717-791-2680
  • Fax: 717-791-2686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD421241
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0019601650001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: