Individual
MR. CHRISTOPHER DAVID MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2 OLD PARK LN, NEW MILFORD, CT 06776-2560
(860) 350-9000
(860) 350-2224
Mailing address
2 OLD PARK LN, NEW MILFORD, CT 06776-2560
(860) 350-9000
(860) 350-2224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002670
CT
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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