Individual
RUBY LYNN QUINIT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1703 MAIN ST, WILLIMANTIC, CT 06226-1133
(860) 456-7252
(860) 456-2278
Mailing address
96 MARTIN TER, GLASTONBURY, CT 06033-2708
(860) 633-9769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042007
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7611005
—
CT
Enumeration date
05/05/2006
Last updated
10/18/2019
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