Individual
MRS. EDELMIRA APRIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
99 HIGHWAY 37 W, TOMS RIVER, NJ 08755-6423
(202) 460-0340
Mailing address
99 HIGHWAY 37 W, TOMS RIVER, NJ 08755-6423
(732) 557-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00378900
NJ
363AM0700X
Medical Physician Assistant
0110- 004962
VA
363AM0700X
Medical Physician Assistant
25 MP00378900
NJ
Other
Enumeration date
10/01/2015
Last updated
07/14/2022
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