MICHAEL K MOORE

HACKENSACK, NJ
NPI1396786612
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  MP000518)
Enumeration Date2006-06-09
Last Update Date2007-07-08
Business Address
MICHAEL K MOORE PA
30 PROSPECT AVE FACULTY PRACTICE OFFICE
HACKENSACK, NJ 07601-1914
Phone number: 201-441-3349
Mailing Address
MICHAEL K MOORE PA
46 MADISON AVE
SUMMIT, NJ 07901-1555
Phone number:
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