| Martin J. Moran Sr., D.o., P.c. | |
|
824 Mcalpine St Avoca PA 18641-1140 | |
| (570) 457-7493 | |
| (570) 457-6710 |
| Full Name | Martin J. Moran Sr., D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 824 Mcalpine St, Avoca, Pennsylvania |
| Authorized Official Name and Position | Rosemary Gnall (OFFICE MANAGER) |
| Authorized Official Contact | 5704577493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin J. Moran Sr., D.o., P.c. 824 Mcalpine St Avoca PA 18641-1140 Ph: (570) 457-7493 | Martin J. Moran Sr., D.o., P.c. 824 Mcalpine St Avoca PA 18641-1140 Ph: (570) 457-7493 |
| NPI Number | 1992991764 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 03/05/2010 |
| Medicare PECOS PAC ID | 3173653938 |
|---|---|
| Medicare Enrollment ID | O20100605000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992991764 | NPI | - | NPPES |
| 001750669001 | Medicaid | PA | |
| 026130 | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS-009468-L (Pennsylvania) | Primary |
| Provider Name | Martin Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952398828 PECOS PAC ID: 0244360006 Enrollment ID: I20100605000060 |
James J Kosik, Do, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 824 Mcalpine St, Avoca, PA 18641 Phone: 570-457-9299 Fax: 570-457-5014 |