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Contact Information

MEAGAN W MOORE, MD, PHD
100 FODEN RD STE 103
SOUTH PORTLAND, ME04106-2327
 Phone: 207-828-1122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MEAGAN W MOORE · (Female)

NPI Number 1154596997
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 04/23/2008
Last updated 03/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CT License # 052675
  • ME License # MD21522
Hospital affiliation(s)
  • FRANKLIN MEMORIAL HOSPITAL - (Acute Care)
    111 FRANKLIN HEALTH COMMONS
    FARMINGTON, ME 04938
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
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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