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Individual

DR. ISRAEL ROSE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
300 PLAZA CT STE A, EAST STROUDSBURG, PA 18301-8260
(570) 421-8842
Mailing address
104 S 9TH ST, PHILIPSBURG, PA 16866-1202
(484) 948-8238

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004071
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG004071
PA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG004071
PA
152WP0200X
Pediatric Optometrist
OEG004071
PA

Other

Enumeration date
09/29/2023
Last updated
09/29/2023
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