Individual
ELISABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
(603) 752-1836
Mailing address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042-0012485
VT
207P00000X
Emergency Medicine Physician
Primary
18810
NH
Other
Enumeration date
05/07/2009
Last updated
04/10/2019
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