Individual
RODMAN MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4949 LIBERTY LN STE 210, ALLENTOWN, PA 18106-9063
(610) 966-2676
Mailing address
4949 LIBERTY LN STE 210, ALLENTOWN, PA 18106-9063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN632515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028886870
—
PA
Enumeration date
06/18/2017
Last updated
06/18/2017
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