Organization
MICHAEL MOORE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G MOORE (OWNER)
(201) 689-0110
Entity
Organization
Contact information
Practice address
171 FRANKLIN TPKE, SUITE 200, WALDWICK, NJ 07463-1849
(201) 689-0110
(201) 689-0114
Mailing address
171 FRANKLIN TPKE, SUITE 200, WALDWICK, NJ 07463-1849
(201) 689-0110
(201) 689-0114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA58638
NJ
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
09/12/2007
Last updated
05/10/2012
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