Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI # | 1013175611 |
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| LBN Legal business name | CHARLES J MORAN MD INC | ||||||||||||||||||||||||
| Authorized official | CHARLES MORAN - (OWNER) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 05/30/2008 | ||||||||||||||||||||||||
| Last updated | 10/21/2009 - About 17 years ago | ||||||||||||||||||||||||
| Identifiers |
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CHARLES J MORAN MD INC
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