Individual
CECILIA G MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1245 MAIN ST STE A, CHATHAM, MA 02633-1889
(508) 945-8720
(508) 945-8724
Mailing address
1245 MAIN ST STE A, CHATHAM, MA 02633-1889
(508) 945-8720
(508) 945-8724
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2197
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033550
BMC
MA
01
—
201301115
UNITED HEALTH CARE
MA
01
—
419034
TUFTS HEALTH PLAN
MA
01
—
7648677
AETNA
MA
01
—
AA19095
HARVARD PILGRIM HEALTH
MA
01
—
Y71110
BLUE SHEILD OF MA
MA
Enumeration date
09/20/2006
Last updated
03/12/2012
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