Bird, Charrell Moyo
Bird, Charrell Moyo is an individual health care provider with primary practice located at 1505 W Sherman Ave Pediatrix Medical Group, Vineland NJ 08360-7059. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bird, Charrell Moyo can be contacted via phone (856) 845-0100.Contact Information
Primary practice address
1505 W Sherman Ave Pediatrix Medical Group
Vineland NJ 08360-7059
Phone: (856) 845-0100
Fax: (302) 651-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD424309 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 25MA09387400 | New Jersey |
Profile Details
| NPI number | 1184701369 |
|---|---|
| LBN Legal business name | Bird, Charrell Moyo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jan 24th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184701369 | NPPES |
| Pennsylvania | MEDICAID | 1018646620001 |
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