Individual
MR. JAMES THOMAS MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1208 HIGHLAND AVE, ABINGTON, PA 19001-3706
(215) 887-3565
(215) 887-0448
Mailing address
1208 HIGHLAND AVE, ABINGTON, PA 19001-3706
(215) 887-3565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-025657E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018609380001
—
PA
01
—
0045129000
KEYSTONE
PA
01
—
020039062
RAILROAD MEDICARE
PA
01
—
1002111
AETNA
PA
01
—
1087030002
CIGNA
PA
01
—
265028
BLUE CROSS BLUE SHIELD
PA
Enumeration date
12/27/2005
Last updated
04/07/2011
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