Individual
ROGER A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 349-8310
Mailing address
3400 SPRUCE ST, 6 DULLES, PHILADELPHIA, PA 19104-4206
(216) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA03656400
NJ
207L00000X
Anesthesiology Physician
Primary
MD020687E
PA
Other
Enumeration date
06/09/2006
Last updated
03/22/2013
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