Individual
WILLIAM MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TCC INSTRUCTOR
Contact information
Practice address
3 HILLCREST AVE, CLIFTON, NJ 07013-2627
(862) 823-9122
Mailing address
3 HILLCREST AVE, CLIFTON, NJ 07013-2627
(862) 823-9122
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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