Individual
CAITLIN C MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BARTOL AVE, SUITE 100, RIDLEY PARK, PA 19078-2214
(610) 521-8970
(610) 521-3983
Mailing address
1 BARTOL AVE, SUITE 100, RIDLEY PARK, PA 19078-2214
(610) 521-8970
(610) 521-3983
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA057053
PA
Other
Enumeration date
08/24/2014
Last updated
02/08/2017
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