Organization
NEW ENGLAND RADIOLOGICAL CONSORTIUM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DOUGLAS MOORE SR. MD (OWNER, AUTHORIZED OFFICIAL)
(833) 821-3774
Entity
Organization
Contact information
Practice address
998 OCEAN BLVD, HAMPTON, NH 03842-1429
(757) 672-0297
Mailing address
PO BOX 3419, INDIANAPOLIS, IN 46206-3419
(833) 821-3774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
05/06/2026
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