Moster, Mark L

Moster, Mark L is an individual health care provider with primary practice located at 840 Walnut St Ste 930 , Philadelphia PA 19107-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moster, Mark L can be contacted via phone (215) 928-3130.

Contact Information

Primary practice address
840 Walnut St Ste 930 Philadelphia PA 19107-5109
Phone: (215) 928-3130
Fax: (215) 592-1923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD024148E Pennsylvania

Profile Details

NPI number 1376511980
LBN Legal business name Moster, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated May 22nd, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376511980 NPPES
Pennsylvania MEDICAID 0009685800003

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