Individual
EUGENE F MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 S WILLIAMS ST, BURLINGTON, VT 05401
(802) 864-7080
(802) 863-0411
Mailing address
28 S WILLIAMS ST, BURLINGTON, VT 05401
(802) 864-7080
(802) 863-0411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042010189
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00058101
BS
VT
01
—
00058102
BS
VT
05
—
OVN2573
—
VT
Enumeration date
04/11/2006
Last updated
02/25/2010
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