Individual
DOROTHY M MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2055 LIMESTONE RD, STE 102, WILMINGTON, DE 19808-5536
(302) 992-0430
(302) 992-0461
Mailing address
2055 LIMESTONE RD, STE 102, WILMINGTON, DE 19808-5536
(302) 992-0430
(302) 992-0461
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C10002605
DE
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
C10002605
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000973802
—
DE
05
—
0014791050006
—
PA
05
—
6265804
—
NJ
Enumeration date
07/01/2005
Last updated
04/24/2020
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