Dominick Peter Moffre, DO

NPI #1790852903 in Rensselaer, New York

Provider Information

NPI Number: 1790852903
Entity Type: Individual
Name: Dominick Peter Moffre, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: DO
Enumeration Date: Nov 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 65 BRINKER DR
Address 2: RO #1
City: Rensselaer
State: New York
ZIP Code: 12144
Phone: (518) 286-3004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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