Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PS002748L | PA |
N | 103T00000X | Psychologist | PS002748L | PA |
Y | 208D00000X | General Practice Physician | MD041120E | PA |
NPI | 1013068329 |
---|---|
Provider Name | Dr. Peter Moskel |
First Address | Carlisle, PA 17015-3121 |
Second Address | Mount Holly Springs, PA 17065-1602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 25/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
556809 | (02) | PA |
E64298 | (02) | PA |