Individual
CAROL S MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6182
Mailing address
2 FISKE POND RD, HOLLISTON, MA 01746-2042
(617) 243-6182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74498
MA
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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