Individual
DR. MARNELL PAUL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
310 CENTRAL AVE STE 301, EAST ORANGE, NJ 07018-2838
(973) 337-2893
(201) 228-1689
Mailing address
310 CENTRAL AVE STE 301, EAST ORANGE, NJ 07018-2838
(973) 337-2893
(201) 228-1689
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00289000
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00289000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0919349
—
NJ
Enumeration date
01/12/2007
Last updated
06/01/2026
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