Individual
CHARLES SIDNEY MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2851 BAGLYOS CIR STE 100, BETHLEHEM, PA 18020
(484) 821-0550
(484) 821-0559
Mailing address
5100 W TILGHMAN ST STE 315, ALLENTOWN, PA 18104-9166
(610) 395-4044
(610) 395-5693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN538686
PA
Other
Enumeration date
09/12/2007
Last updated
11/06/2019
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