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NPI Code Detail

MEDICARE: DR. JOHN K MORAN MD

MEDICARE:  DR. JOHN K 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
12085R0202XDiagnostic Radiology PhysicianMD047177LPA

General Provider Information

NPI Number : 1073508453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN K MORAN MD
Provider Business Mailing Address
First Line : PO BOX 782743
Second Line : ATTN: CREDENTIALING
City : PHILADELPHIA
State : PA
Zip : 19178-2743
Country : US
Telephone Number : 602-910-6887
Fax Number : 215-612-5077
Provider Business Practice Location Address
First Line : 10800 KNIGHTS RD
Second Line : ATTN: RADIOLOGY
City : PHILADELPHIA
State : PA
Zip : 19114-4200
Country : US
Telephone Number : 215-612-2610
Fax Number : 215-612-5077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 01/21/2016

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Directions to “ DR. JOHN K MORAN MD” Practice Location

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