Individual ProviderDaniel Joseph MolluraRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-6500(301) 604-8076PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Joseph Mollura does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1730227752Provider TypeIndividualFull NameMollura, Daniel JosephTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date2/2/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-6500FaxUnlisted FaxMailing LocationMailing Address243 Sycamore Ridge Rd, Laurel, MD 20724-2954Phone(301) 604-8076FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseT0786Maryland