Individual
SARAH ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903
(401) 444-5795
(401) 444-6947
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5795
(401) 444-6947
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A193401
CA
208800000X
Urology Physician
LP04594
RI
Other
Enumeration date
03/29/2019
Last updated
07/09/2024
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