Organization
CECILIA G. MOORE DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA G MOORE D.P.M. (OWNER)
(508) 945-8720
Entity
Organization
Contact information
Practice address
214 ORLEANS RD, SUITE C, NORTH CHATHAM, MA 02650-3101
(508) 945-8720
(508) 945-8724
Mailing address
214 ORLEANS RD, SUITE C, NORTH CHATHAM, MA 02650-3101
(508) 945-8720
(508) 945-8724
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
2197
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y77351
BLUE SHIELD OF MA
MA
Enumeration date
12/07/2007
Last updated
12/14/2007
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