Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 1486 | MA |
NPI | 1033190673 |
---|---|
Provider Name | Kevin J Moran |
First Address | Worcester, MA 01605 |
Second Address | Leominster, MA 01453-3242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 25/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042472266 | HEALTHCARE VALUE MGMT (01) | |
042472266 | ONE HEALTH PLAN (01) | |
042472266 | PRIVATE HEALTHCARE (01) | |
042472266 | THREE RIVERS (01) | |
26816 | CMSP (01) | |
26816 | HEALTHY START (01) | |
480026225 | RAILROAD MEDICARE (01) | |
7157347 | AETNA (01) | |
7157347 | US HEALTHCARE (01) | |
785962 | MVP HEALTH CARE (01) | |
8296705 | CIGNA PAL ID (01) | |
918064 | FIRST HEALTH (01) | |
9900803 | FALLON COMMUNITY HEALTH (01) | |
AA2361 | HARVARD PILGRIM (01) | |
T58682 | (02) | |
Y70603 | BLUE CARE ELECT (01) | |
Y70603 | BLUE SHIELD HMO BLUE (01) | |
Y70603 | BLUE SHIELD INDEMNITY (01) | |
Y70603 | MEDICARE B (01) |