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Contact Information

DAVID J MOYLAN III, MD
15 ALLIANCE ST
NEW PHILADELPHIA, PA17959-1101
 Phone: 570-277-6218
 Fax: 570-277-6398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for DAVID J MOYLAN III · (Male)

NPI # 1447245899
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2005
Last updated 11/04/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD 020915 E
  • PA License # MD020915E
  • PA Medicaid 000863185
Hospital affiliation(s)
  • SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET - (Acute Care)
    420 SOUTH JACKSON STREET
    POTTSVILLE, PA 17901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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