Organization
TERENCE E. MOORE
Active
Other names
Family Medical Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE E MOORE M.D. (M.D.)
(724) 763-3251
Entity
Organization
Contact information
Practice address
710 4TH AVE, FORD CITY, PA 16226-1103
(724) 763-3251
Mailing address
710 4TH AVE, FORD CITY, PA 16226-1103
(724) 763-3251
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD039455L
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010047480002
—
PA
01
—
516724
BLUE SHIELD PROV NUMBER
PA
Enumeration date
06/23/2006
Last updated
10/26/2012
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