MEDICARE: ANDREW MICHAEL MOLOCHNICK RPA

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	243U00000X	Radiology Practitioner Assistant

General Provider Information

NPI Number	:	1578705729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW MICHAEL MOLOCHNICK RPA

Provider Business Mailing Address
First Line	:	6522 KELLY DR
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-6235
Country	:	US
Telephone Number	:	570-881-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	3625 QUAKERBRIDGE RD
Second Line	:	ATTN: KATHY BELLEDIN
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1268
Country	:	US
Telephone Number	:	609-689-1600
Fax Number	:

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

Provider Enumeration Date	:	04/02/2009
Last Update Date	:	04/02/2009

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