DEREK MOORE

PHILADELPHIA, PA
NPI1659931046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  MT219038)
Enumeration Date2019-06-18
Last Update Date2019-08-01
Business Address
DEREK MOORE
10 SHURS LN STE 301
PHILADELPHIA, PA 19127-2123
Phone number: 215-967-1632
Mailing Address
DEREK MOORE
10 SHURS LANE SUITE 301
PHILADELPHIA, NJ 19127-2629
Phone number: 215-482-1234
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