Derek Moore
Derek Moore is a Family Medicine Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2019
Practice location Address checks out
10 Shurs Ln Ste 301Philadelphia, PA 19127-2123
Phone: (215) 967-1632
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MT219038 (PA) |
|---|
Record details
| NPI number | 1659931046 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2019 |
| Last updated in NPPES | August 1, 2019 |
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