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Contact Information

CHARLES S MOORE JR, CRNA
2851 BAGLYOS CIR STE 100
BETHLEHEM, PA18020
 Phone: 484-821-0550
 Fax: 484-821-0559
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for CHARLES S MOORE JR · (Male)

NPI # 1760677827
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/12/2007
Last updated 11/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RN538686
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
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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