Provider Demographics
NPI:1083607394
Name:MORESCHI, MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:MORESCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-4212
Mailing Address - Country:US
Mailing Address - Phone:215-787-9000
Mailing Address - Fax:215-787-9398
Practice Address - Street 1:1600 W GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19130-1615
Practice Address - Country:US
Practice Address - Phone:215-787-9000
Practice Address - Fax:215-787-9398
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048628L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0844049000OtherINDEPENDENCE BLUE CROSS
PA157056201OtherAMERICHOICE
PA30030535OtherKEYSTONE MERCY
PA1735987OtherUNITED HEALTHCARE
PA811309OtherHIGHMARK
PA001570562Medicaid
PA09391OtherHEALTH PARTNERS
PA1735987OtherUNITED HEALTHCARE
PA157056201OtherAMERICHOICE