Individual
MR. FREDERICK EMERSON MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 SUMMER ST, NEWPORT, NH 03773-1208
(603) 863-1785
(603) 863-1237
Mailing address
163 SUMMER ST, NEWPORT, NH 03773-1208
(603) 863-1785
(603) 863-1237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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