Individual
DR. TEGAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D
Contact information
Practice address
115 BROAD ST, BRIDGEPORT, CT 06604-5714
(203) 366-0526
Mailing address
115 BROAD ST, BRIDGEPORT, CT 06604-5714
(203) 366-0526
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
577
CT
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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