MEDICARE: DR. PETER MOSKEL 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
1	103T00000X	Psychologist	PS002748L	PA
2	208D00000X	General Practice Physician	MD041120E	PA

General Provider Information

NPI Number	:	1013068329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER MOSKEL M.D.

Provider Business Mailing Address
First Line	:	75 FAIRVIEW ST
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-3121
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 N BALTIMORE AVE
Second Line	:	BUILDING A SUITE 2
City	:	MOUNT HOLLY SPRINGS
State	:	PA
Zip	:	17065-1602
Country	:	US
Telephone Number	:	717-323-0304
Fax Number	:	717-323-0276

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	06/25/2015

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