Individual
REBECCA CHRISITANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
854 S WHITE HORSE PIKE UNIT 4, HAMMONTON, NJ 08037-2033
(609) 704-0185
(609) 704-0195
Mailing address
854 S WHITE HORSE PIKE UNIT 4, HAMMONTON, NJ 08037-2033
(609) 704-0185
(609) 704-0195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07787600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082791
—
NJ
Enumeration date
07/04/2006
Last updated
06/25/2024
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