Individual
JENNIFER I MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 CROSS ST, SUITE 300, NORWALK, CT 06851-4647
(203) 229-2000
(203) 840-9001
Mailing address
40 CROSS ST, SUITE 300, NORWALK, CT 06851-4647
(203) 229-2000
(203) 840-9001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
045613
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008008169
—
CT
Enumeration date
07/06/2007
Last updated
01/26/2017
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