Individual
HARRIS IRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6000 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1448
(201) 758-0099
Mailing address
102 EDGEWATER RD, CLIFFSIDE PARK, NJ 07010-2900
(732) 586-5541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC02163
NJ
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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