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Individual

DARROCH W O MOORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
317 S MANNING BLVD, SUITE 280, ALBANY, NY 12208-1738
(518) 454-0846
(518) 454-0849
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 454-0846
(518) 454-0849

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1619241
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00935855
NY
Enumeration date
08/02/2005
Last updated
06/23/2016
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