Moley, Peter J
Moley, Peter J is an sole proprietor health care provider with primary practice located at 1 Blachley Road , Stamford CT 06902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Moley, Peter J can be contacted via phone (203) 705-2120.Contact Information
Primary practice address
1 Blachley Road
Stamford CT 06902
Phone: (203) 705-2120
Fax: (646) 797-8866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 040335 | Connecticut |
| Other Service Providers / Specialist | 174400000X | 221024 | New York |
| Other Service Providers / Specialist | 174400000X | 040335 | Connecticut |
Profile Details
| NPI number | 1205993409 |
|---|---|
| LBN Legal business name | Moley, Peter J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Sep 3rd, 2015 - about 11 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 | 1205993409 | NPPES |
| New York | MEDICAID | 0801J1 | |
| New York | Other | P2711804 | |
| New York | Other | P2711804 |
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