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Individual

BRIAN E. MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
670 ALBANY ST, SUITE 304, BOSTON, MA 02118-2646
(617) 414-4291
(617) 414-5315
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
284981
MA
207ZP0101X
Anatomic Pathology Physician
284981
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036115598
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DR.0055623
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110165424A
MA
Enumeration date
09/29/2006
Last updated
02/18/2026
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