Individual
MR. PAUL BENJAMIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, CPNP
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8050
(330) 543-8054
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8050
(330) 543-8054
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
APRN.CNP.025361
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025361
OH
Other
Enumeration date
08/05/2019
Last updated
04/07/2021
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