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NPI Code Detail

MEDICARE: DAVID W MOORE MD

MEDICARE: DAVID W MOORE MD
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
1207X00000XOrthopaedic Surgery Physician29318MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1029318OTHERMATUFTS
22000000471OTHERMAHPHC
31318163OTHERMABCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316936867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID W MOORE MD
Provider Business Mailing Address
First Line : 460 TOTTEN POND RD
Second Line : C/O MZI
City : WALTHAM
State : MA
Zip : 02451-1991
Country : US
Telephone Number : 781-890-9933
Fax Number : 781-890-9930
Provider Business Practice Location Address
First Line : 1094 WORCESTER RD
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-5255
Country : US
Telephone Number : 508-879-2550
Fax Number : 508-820-9844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 12/30/2009

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