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1396786612
MICHAEL K MOORE
HACKENSACK, NJ
NPI
1396786612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ MP000518)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
-- MICHAEL K MOORE PA
30 PROSPECT AVE FACULTY PRACTICE OFFICE
HACKENSACK, NJ 07601-1914
Phone number: 201-441-3349
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Mailing Address
-- MICHAEL K MOORE PA
46 MADISON AVE
SUMMIT, NJ 07901-1555
Phone number:
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