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Individual

DR. MARGARET MARIE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3133
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
206837
LA
208600000X
Surgery Physician
DR.0063472
CO
208600000X
Surgery Physician
Primary
MD495584
PA
208D00000X
General Practice Physician
01060994A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2362658
LA
Enumeration date
01/25/2006
Last updated
07/31/2026
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