Individual
MR. ANGELO DEWITT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1075 STEPHENSON AVE, PATTERSON ARMY HEALTH CLINIC, FORT MONMOUTH, NJ 07703-5000
(732) 532-0182
(732) 532-0194
Mailing address
21 MILLENNIUM LOOP, STATEN ISLAND, NY 10309-4337
(718) 630-4186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138235
NC
363LF0000X
Family Nurse Practitioner
648115
TX
Other
Enumeration date
10/19/2006
Last updated
09/11/2025
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