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NPI Code Detail

MEDICARE: IVEL C MORALES M.D

MEDICARE: IVEL C MORALES 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
1207Q00000XFamily Medicine PhysicianMD462898PA

General Provider Information

NPI Number : 1770878456
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVEL C MORALES M.D
Provider Business Mailing Address
First Line : 2144 CECIL B MOORE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-4014
Country : US
Telephone Number : 215-320-6187
Fax Number :
Provider Business Practice Location Address
First Line : 2144 CECIL B MOORE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-4014
Country : US
Telephone Number : 215-320-6187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2011
Last Update Date : 09/02/2022

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Directions to “ IVEL C MORALES M.D” Practice Location

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