NPI Profile for THEODORE A MOORE in PENNINGTON, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1134290695 |
|
| Status | Active | |
| Credentials | M.A. | |
| Entity | Individual | |
| Enumeration date | 11/13/2006 | |
| Last updated | 01/07/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THEODORE A MOORE
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