Organization
MICHAEL J MOORE MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORE MD (PRESIDENT)
(800) 927-0002
Entity
Organization
Contact information
Practice address
131 ORNAC, JOHN CUMMING BLDG, CONCORD, MA 01742-4181
(781) 259-0803
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
MA
Other
Enumeration date
12/23/2005
Last updated
01/05/2010
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