Provider Demographics
NPI:1013152883
Name:DR.CATHERINE MOYER LLC
Entity Type:Organization
Organization Name:DR.CATHERINE MOYER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-258-5300
Mailing Address - Street 1:2461 NAZARETH RD
Mailing Address - Street 2:25TH STREET SHOPPING CENTER
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2743
Mailing Address - Country:US
Mailing Address - Phone:610-258-5300
Mailing Address - Fax:610-258-5138
Practice Address - Street 1:2461 NAZARETH RD
Practice Address - Street 2:25TH STREET SHOPPING CENTER
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2743
Practice Address - Country:US
Practice Address - Phone:610-258-5300
Practice Address - Fax:610-258-5138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004613L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
030204Medicare PIN
U76692Medicare UPIN