Individual
DR. JOHN T MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 KINGS HWY N, WESTPORT, CT 06880-2422
(203) 846-2004
(203) 845-2166
Mailing address
40 CROSS ST, SUITE 210, NORWALK, CT 06851-4647
(203) 846-2004
(203) 845-2166
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26099
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026099
STATE MEDICAL LICENSE
CT
Enumeration date
12/17/2006
Last updated
01/31/2022
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