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Individual

DR. DONALD MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 CORDAGE PARK CIR, SUITE 211, PLYMOUTH, MA 02360-7318
(508) 747-1443
(508) 830-6850
Mailing address
10 CORDAGE PARK CIR, SUITE 211, PLYMOUTH, MA 02360-7318
(508) 747-1443
(508) 830-6850

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55534
MA
207RC0000X
Cardiovascular Disease Physician
Primary
55534
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3056694
MA
Enumeration date
11/27/2006
Last updated
01/07/2021
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