Individual
MONICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 GLOVER AVE, NORWALK, CT 06850-1202
(203) 750-7400
(203) 846-9579
Mailing address
10 GLOVER AVE, NORWALK, CT 06850-1202
(203) 750-7400
(203) 846-9579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002886
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002886
CT STATE LICENSE
CO
Enumeration date
11/07/2006
Last updated
07/08/2007
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