MEDICARE: DR. MOSEH EMANUEL DUNN 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	146D00000X	Personal Emergency Response Attendant		PA

General Provider Information

NPI Number	:	1982764213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOSEH EMANUEL DUNN M.D.,

Provider Business Mailing Address
First Line	:	2725 W GLENWOOD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19121-1840
Country	:	US
Telephone Number	:	215-200-3683
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 W GLENWOOD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19121-1840
Country	:	US
Telephone Number	:	215-200-3683
Fax Number	:

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/26/2007

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