Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | MD069182L | PA |
NPI | 1710951470 |
---|---|
Provider Name | Michael Moritz |
First Address | Pittsburgh, PA 15213-3205 |
Second Address | Pittsburgh, PA 15213-3205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C31165 | (02) | PA |