Provider Demographics
NPI:1982764213
Name:DUNN, MOSEH EMANUEL (MD,)
Entity Type:Individual
Prefix:DR
First Name:MOSEH
Middle Name:EMANUEL
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 W GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-1840
Mailing Address - Country:US
Mailing Address - Phone:215-200-3683
Mailing Address - Fax:
Practice Address - Street 1:2725 W GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-1840
Practice Address - Country:US
Practice Address - Phone:215-200-3683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant