Individual
MATTHEW R MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
804 N DUPONT BLVD, MILFORD, DE 19963-1006
(302) 744-7645
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0024563
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
11/20/2024
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