Individual
MEREDITH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1176569
—
Other
Enumeration date
10/09/2020
Last updated
03/24/2025
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