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Contact Information

RYAN MOORE, MD
20 PROSPECT AVE STE 404
HACKENSACK, NJ07601-1941
 Phone: 551-996-4371
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RYAN MOORE · (Male)

NPI # 1235541350
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2014
Last updated 02/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10834500
Hospital affiliation(s)
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
  • MORRISTOWN MEMORIAL HOSPITAL - (Acute Care)
    100 MADISON AVE
    MORRISTOWN, NJ 07962
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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