Kevin J Moran DPM

NPI 1033190673 - Podiatrist - 213ES0103X

NPI Details
NPI 1033190673
Gender Male
Enumeration Date 11/10/2005
Last Updated 10/25/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
165 MILL ST
LEOMINSTER MA, 01453-3242, US
Phone (978) 466-3206
Fax (978) 466-3241
Business Location
630 PLANTATION ST
WORCESTER MA, 01605, US
Phone (978) 466-3206
Fax (978) 466-3241
Toxanomy
Taxonomy Code 213ES0103X
License State Massachusetts
License Number 1486
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According to our database, Kevin J Moran DPM NPI is 1033190673, taxonomy code is 213ES0103X and license number is 1486, license state is located at Massachusetts. Kevin J Moran DPM physically located at 165 Mill St, Leominster MA, 01453-3242. NPI Number Kevin J Moran DPM has the Individual type.

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1033190673 NPI number is provided on an as is basis without warranty of any kind. 1033190673 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin J Moran DPM are for informational purposes only.