Individual
DR. THOMAS C MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 HARRISON AVE, MOAKLEY, 2ND FLOOR, BOSTON, MA 02118-2905
(617) 638-6525
(617) 638-7448
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
213436
MA
207RG0100X
Gastroenterology Physician
Primary
213436
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110033140A
—
MA
Enumeration date
12/23/2005
Last updated
05/19/2014
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