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Individual

FRANK A MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
20 YORK ST # T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 785-5174
Mailing address
20 YORK ST # T-209, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510-3220
(203) 785-5174

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55379
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02977993
NY
Enumeration date
10/10/2006
Last updated
10/17/2016
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