Individual
MRS. DOREATHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
2030 N BLACK HORSE PIKE STE 2, WILLIAMSTOWN, NJ 08094-9132
(866) 582-7774
(866) 624-7832
Mailing address
2030 N BLACK HORSE PIKE STE 2, WILLIAMSTOWN, NJ 08094-9132
(866) 582-7774
(866) 624-7832
Taxonomy
Speciality
Code
Description
License number
State
331L00000X
Blood Bank
Primary
CMA4623
NJ
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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