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STEPHEN ALAN MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 WEST AVE, GT BARRINGTON, MA 01230
(413) 528-2297
(413) 528-2572
Mailing address
140 WEST AVE, GT BARRINGTON, MA 01230
(413) 528-2297
(413) 528-2572

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31963
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000023150
BOSTON MEDICAL CENTER HEA
01
10035727
CDPHP
01
14570
HEALTH NEW ENGLAND
01
151131
HARVARD
01
175300
MVP
01
546172
AETNA US HEALTHCARE
01
703730
CONNECTICARE
01
773834
TUFTS
01
9724273
MASS HEALTH
05
9724273
MA
01
9762698003
CEGNA HEALTHCARE
01
P811505
OXFORD
Enumeration date
08/18/2006
Last updated
07/08/2007
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