Individual
MICHAEL G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 FRANKLIN TPKE, SUITE 200, WALDWICK, NJ 07463-1849
(201) 689-0110
(201) 689-0114
Mailing address
171 FRANKLIN TPKE, SUITE 200, WALDWICK, NJ 07463-1849
(201) 689-0110
(201) 689-0114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA05863800
NJ
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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