Individual
ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 BRANDYWINE PKWY, WEST CHESTER, PA 19380-4278
(610) 436-3604
(610) 436-3606
Mailing address
638 BRANDYWINE PKWY, WEST CHESTER, PA 19380-4278
(610) 436-3604
(610) 436-3606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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