Individual provider · Type 1 NPI
Mary Jane Moessner, PA
Medical Physician Assistant · Elkins Park, PA
NPI number
1326063330
Active
Practice location
60 Township Line Rd
Elkins Park, PA 19027-2220
Fax (215) 663-6265
Mailing address
101 E Olney Ave, Suite 400
Philadelphia, PA 19120-2421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA000317L (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1326063330
Mary Jane Moessner, PA's National Provider Identifier is 1326063330, issued on Jul 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Elkins Park, PA. The record was last updated on Feb 2, 2011.