Individual
DR. MEAGAN W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
Mailing address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052675
CT
207R00000X
Internal Medicine Physician
MD21522
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
052675
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD21522
ME
207RP1001X
Pulmonary Disease Physician
052675
CT
207RP1001X
Pulmonary Disease Physician
Primary
MD21522
ME
Other
Enumeration date
04/23/2008
Last updated
03/17/2025
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