Organization
STEPHEN MOORE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ALAN MOORE MD (PRESIDENT OPHTHALMOLOGIST)
(413) 528-2297
Entity
Organization
Contact information
Practice address
140 WEST AVE, GT BARRINGTON, MA 01230-1823
(413) 528-2297
Mailing address
140 WEST AVE, GT BARRINGTON, MA 01230-1823
(413) 528-2297
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31963
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000023150
BOSTON MED CTR HEALTH NET
—
01
—
10035727
CDPHP
—
01
—
14570
HEALTH NEW ENGLAND
—
01
—
151131
HARVARD
—
01
—
175300
MVP
—
01
—
546172
AETNA US HEALTHCARE
—
01
—
703730
CONNECTICARE
—
01
—
773834
TUFTS
—
01
—
9724273
MASS HEALTH
—
05
—
9724273
—
MA
01
—
9762698003
CIGNA HEALTHCARE
—
01
—
C18048
BLUE CROSS BLUE SHIELD
—
01
—
M19129
GROUP NUMBER
—
01
—
P811505
OXFORD
—
Enumeration date
08/21/2006
Last updated
08/22/2020
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