Individual
JULIE K MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6461
(908) 788-6412
Mailing address
2100 WESCOTT DR, FLEMINGTON, NJ 08822-4603
(908) 788-6461
(908) 788-6412
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP000949
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP000949
LICENSE
NJ
Enumeration date
02/01/2007
Last updated
07/08/2007
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