Individual
MR. MARK MOORADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7 MARSH BROOK DR STE 205, SOMERSWORTH, NH 03878-6523
(603) 742-2007
Mailing address
PO BOX 412503, BOSTON, MA 02241-7128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1180
NH
363A00000X
Physician Assistant
PA1509
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3128069
—
NH
Enumeration date
03/02/2015
Last updated
02/02/2024
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