Bruce Khalil Moore II, EMT
NPI #1124451257 in Hillside, New Jersey
Provider Information
- NPI Number
- 1124451257
- Entity Type
- Individual
- Name
- Bruce Khalil Moore II, EMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Ambulance
- Credential
- EMT
- Enumeration Date
- Aug 13, 2013
- Last Updated
- Aug 13, 2013
Practice Location
- Address
- 1101 SALEM AVE
- City
- Hillside
- State
- New Jersey
- ZIP Code
- 07205-2834
- Phone
- (973) 558-6942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
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