Individual
DR. CHARLES ALDEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
707 N MAIN ST, GLASSBORO, NJ 08028-1605
(856) 307-9700
(856) 307-0289
Mailing address
30 APPLETREE LN, SEWELL, NJ 08080-3022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01370600
NJ
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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