Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD037007E | PA |
Y | 111NI0900X | Internist | MD037007E | PA |
N | 207RI0200X | Infectious Disease | MD037007E | PA |
NPI | 1003804915 |
---|---|
Provider Name | Darilyn Moyer |
First Address | Philadelphia, PA 19129-1302 |
Second Address | Philadelphia, PA 19140-5185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 28/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011252150001 | (05) | PA |
C31849 | (02) |