Provider Demographics
NPI:1669683165
Name:MOULDING, HUGH DAVID (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:DAVID
Last Name:MOULDING
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1155
Mailing Address - Country:US
Mailing Address - Phone:610-954-6000
Mailing Address - Fax:610-954-9410
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 302
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1155
Practice Address - Country:US
Practice Address - Phone:610-954-6000
Practice Address - Fax:610-954-9410
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426382207T00000X
NY247708207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA160169Medicare PIN