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Individual
MICHAEL MORIARTY
Active
Individual
MICHAEL MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
63504
CT
207Q00000X
Family Medicine Physician
Primary
OS019260
PA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
63504
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031426570003
—
PA
01
—
63504
CT STATE LICENSE
CT
Enumeration date
06/10/2015
Last updated
07/09/2026
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