Provider Demographics
NPI:1821239245
Name:MOLLOY, PATRICIA TAYLOR (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:TAYLOR
Last Name:MOLLOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2315 BROOKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3888
Mailing Address - Country:US
Mailing Address - Phone:484-341-8550
Mailing Address - Fax:484-341-8551
Practice Address - Street 1:2315 BROOKSHIRE DR
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-3888
Practice Address - Country:US
Practice Address - Phone:484-341-8550
Practice Address - Fax:484-341-8551
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-14
Last Update Date:2009-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 042619-E2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology