Mark Moore in Philadelphia - Prescribing (medical)

Mark Moore - NPI 1669690905

Mark Moore is a Prescribing (medical) in Philadelphia, Pennsylvania. Mark Moore practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Mark Moore is 1669690905. The last update date is 2007-07-08.

Mark Moore's current location address is 230 W Washington Sq, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158296088 and fax number 2158296104. The mailing address for Mark Moore is 230 W Washington Sq, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Moore
Address 230 W Washington Sq, Philadelphia, Pennsylvania
Phone Number 2158296088
Fax Number 2158296104
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1669690905
Provider Enumeration Date 2007-04-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 230 W Washington Sq
City Philadelphia
State Pennsylvania (PA)
Post Code 191063500
Phone Number 2158296088
Fax Number 2158296104

Provider's Primary Taxonomy Detail

Speciality Prescribing (medical)
Taxonomy 103Tp0016X
Licence No PS015627
Definition:
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis

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FAQs about Mark Moore

What is the unique identifier code issued to Mark Moore by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Moore has been assigned the NPI (National Provider Identifier) 1669690905. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Mark Moore?

The Mark Moore is situated at 230 W Washington Sq, in the city of Philadelphia, state of PA, with the zip code 191063500.

What is Mark Moore's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Moore's area of specialization is Prescribing (medical), and the corresponding taxonomy code that categorizes this field of practice is 103Tp0016X.

On what date did the Centers for Medicare & Medicaid Services assign the 1669690905 to Mark Moore?

The Centers for Medicare & Medicaid Services assigned the 1669690905 to Mark Moore on 2007-04-23.

When was the information regarding Mark Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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