Individual
JAMES R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
179 N BROAD ST, CHENANGO MEMORIAL HOSPITAL, NORWICH, NY 13815
(607) 337-7200
(607) 337-7400
Mailing address
PO BOX 819, NORWICH, NY 13815
(607) 337-7200
(607) 336-7400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
214016
NY
Other
Enumeration date
09/08/2005
Last updated
07/08/2007
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