Individual
ROSS EDWARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(856) 235-1983
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07362600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060160
—
NJ
Enumeration date
01/03/2007
Last updated
11/14/2022
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