Provider Demographics
NPI:1841282746
Name:MOIDEL, ROBERT ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ARNOLD
Last Name:MOIDEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:170 W. GERMANTOWN PIKE
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1389
Mailing Address - Country:US
Mailing Address - Phone:610-277-2750
Mailing Address - Fax:610-277-7949
Practice Address - Street 1:262A BETHLEHEM PIKE
Practice Address - Street 2:STE 100
Practice Address - City:COLMAR
Practice Address - State:PA
Practice Address - Zip Code:18915-9761
Practice Address - Country:US
Practice Address - Phone:215-997-8530
Practice Address - Fax:215-997-8536
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025105-E207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
116296OtherBLUE SHIELD
PA2584OtherAETNA
PA0023416000OtherKEYSTONE
PA0023416000OtherPERSONAL CHOICE
B37008Medicare UPIN
PA116296GQTMedicare PIN