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NPI Code Detail

MEDICARE: PATRICIA SELIGA MOORE DC

MEDICARE:   PATRICIA  SELIGA MOORE  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2067MA

General Provider Information

NPI Number : 1154633782
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA SELIGA MOORE DC
Provider Business Mailing Address
First Line : 111 WILLARD ST
Second Line : SUITE 2A
City : QUINCY
State : MA
Zip : 02169-1200
Country : US
Telephone Number : 617-471-4491
Fax Number : 617-984-0636
Provider Business Practice Location Address
First Line : 1095 WASHINGTON ST
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-7944
Country : US
Telephone Number : 508-761-9000
Fax Number : 508-761-9111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2010
Last Update Date : 07/13/2010

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Directions to “ PATRICIA SELIGA MOORE DC” Practice Location

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