Individual
JEFFREY LOUIS MOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4001
Mailing address
322 BRAMBLY HEDGE CIR, FAIRFIELD, CT 06824-7020
(203) 259-7296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
033218
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033218
MEDICAL LICENSE
CT
Enumeration date
01/31/2006
Last updated
09/06/2012
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