Individual
CHARLES F MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TUFTS NEW ENGLAND MEDICAL CENTER, 750 WASHINGTON STREET, BOSTON, MA 02111
(617) 636-8440
Mailing address
115 WARREN AVE, BOSTON, MA 02116-6103
(617) 636-8440
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
204159
MA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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