Individual
JOHN F MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
740 EAST STATE ST, SHARON, PA 16146
(724) 983-3911
Mailing address
19 JEFFERSON AVE, SHARON, PA 16146
(724) 983-1355
(724) 981-1605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS007335E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013044300004
—
PA
01
—
080062782
RR MEDICARE
—
01
—
149807
HIGHMARK BS
PA
Enumeration date
01/10/2006
Last updated
04/24/2008
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