Individual
MR. DANIEL LEE MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP- BC
Contact information
Practice address
55 FRUIT STREET, DIABETES, BOSTON, MA 02114
(617) 726-8722
(617) 724-8534
Mailing address
55 FRUIT STREET, DIABETES, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2258946
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
2258946
MA
Other
Enumeration date
10/18/2010
Last updated
01/06/2025
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