DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TAIJA-RAE MOORE

MEDICARE: TAIJA-RAE MOORE
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1679379663
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAIJA-RAE MOORE
Provider Business Mailing Address
First Line : 155 E GODFREY AVE APT B401
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19120-4710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 223 GIBBSBORO RD
Second Line :
City : CLEMENTON
State : NJ
Zip : 08021-4135
Country : US
Telephone Number : 609-889-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2025
Last Update Date : 02/20/2025

Similar Medicare Providers

1710844568 — MARGUERITE ALMOND
Practice Location Address:
223 GIBBSBORO RD
CLEMENTON, NJ
08021-4135
Practice Phone: 609-889-8100
Practice Fax:
1033076252 — MARISSA LEIGH COFFIELD
Practice Location Address:
223 GIBBSBORO RD
CLEMENTON, NJ
08021-4135
Practice Phone: 609-889-8100
Practice Fax:
1033886049 — EMILY NICOLE MERTZ-TOMLINSON
Practice Location Address:
223 GIBBSBORO RD
CLEMENTON, NJ
08021-4135
Practice Phone: 609-889-8100
Practice Fax:
1578369534 — GIANNA RANDO
Practice Location Address:
223 GIBBSBORO RD
CLEMENTON, NJ
08021-4135
Practice Phone: 609-889-8100
Practice Fax:
1659177863 — EBONY THOMAS
Practice Location Address:
223 GIBBSBORO RD
CLEMENTON, NJ
08021-4135
Practice Phone: 609-889-8100
Practice Fax:
1477359685 — CAROLIN GARCIA
Practice Location Address:
223 GIBBSBORO RD
CLEMENTON, NJ
08021-4135
Practice Phone: 609-889-8100
Practice Fax:

Directions to “ TAIJA-RAE MOORE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.