Michael K Moore, PA
NPI #1396786612 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1396786612
- Entity Type
- Individual
- Name
- Michael K Moore, PA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 30 PROSPECT AVE
- Address 2
- FACULTY PRACTICE OFFICE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1914
- Phone
- (201) 441-3349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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