Individual
MAUREEN DALY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1107 ROBIN RD, GLADWYNE, PA 19035-1007
(610) 527-6186
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA11070100
NJ
208600000X
Surgery Physician
303373
NY
Other
Enumeration date
04/10/2013
Last updated
09/20/2021
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