Individual
GEORGE W MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 MARTIN TER, GLASTONBURY, CT 06033-2708
(860) 633-9769
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2893
(860) 679-0121
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
041646
CT
Other
Enumeration date
05/08/2006
Last updated
09/29/2022
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