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Contact Information

STEPHEN A MOORE, MD
140 WEST AVE
GREAT BARRINGTON, MA01230
 Phone: 413-528-2297
 Fax: 413-528-2572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for STEPHEN A MOORE · (Male)

NPI # 1649384793
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 31963
  • MA Medicaid 9724273
  • Other 546172 AETNA US HEALTHCARE
  • Other 000000023150 BOSTON MEDICAL CENTER HEA
  • Other 10035727 CDPHP
  • Other 9762698003 CEGNA HEALTHCARE
  • Other 703730 CONNECTICARE
  • Other 151131 HARVARD
  • Other 14570 HEALTH NEW ENGLAND
  • Other 9724273 MASS HEALTH
  • Other 175300 MVP
  • Other P811505 OXFORD
  • Other 773834 TUFTS
Hospital affiliation(s) Not Available
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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