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NPI Code Detail

MEDICARE: EUGENE MOCHAN DO

MEDICARE:   EUGENE  MOCHAN  DO
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
1208D00000XGeneral Practice PhysicianOS004002LPA

General Provider Information

NPI Number : 1255601555
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE MOCHAN DO
Provider Business Mailing Address
First Line : 4170 CITY AVE
Second Line : SUITE 205
City : PHILADELPHIA
State : PA
Zip : 19131-1610
Country : US
Telephone Number : 484-682-8109
Fax Number : 215-871-6781
Provider Business Practice Location Address
First Line : 4170 CITY AVE
Second Line : SUITE 205
City : PHILADELPHIA
State : PA
Zip : 19131-1610
Country : US
Telephone Number : 484-682-8109
Fax Number : 215-871-6781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2012
Last Update Date : 09/20/2012

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Directions to “ EUGENE MOCHAN DO” Practice Location

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