Individual
MR. MATTHEW MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
10.101687
CT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
TBD
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
TBD
CT
Other
Enumeration date
05/10/2013
Last updated
05/30/2018
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