Individual
MR. CHRISTOPHER WARD MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP
Contact information
Practice address
380 MAIN ST, WATERTOWN, CT 06795-2260
(860) 274-8891
(860) 274-8895
Mailing address
380 MAIN ST, WATERTOWN, CT 06795-2260
(860) 274-8891
(860) 274-8895
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001457
CT
Other
Enumeration date
09/06/2005
Last updated
12/11/2012
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