Individual
ELIZABETH ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 PARK ST, ATTLEBORO, MA 02703-3143
(508) 222-5200
(508) 236-7909
Mailing address
18 WASHINGTON ST, FOXBORO, MA 02035-1021
(508) 698-0044
(508) 698-5373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
247841
MA
207V00000X
Obstetrics & Gynecology Physician
9954
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA257247
HARVARD PILGRIM HEALTH CARE
MA
Enumeration date
07/21/2006
Last updated
07/11/2012
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