Individual
DR. MARY ELLEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
651
MA
111NN0400X
Neurology Chiropractor
Primary
1258
MA
111NR0200X
Radiology Chiropractor
651
MA
Other
Enumeration date
05/07/2007
Last updated
09/11/2025
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