MR. Michael Joseph Moore, LAT
NPI #1811639321 in Madison, New Jersey
Provider Information
- NPI Number
- 1811639321
- Entity Type
- Individual
- Name
- MR. Michael Joseph Moore, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT
- Enumeration Date
- Apr 13, 2022
- Last Updated
- Apr 13, 2022
Practice Location
- Address
- 170 RIDGEDALE AVE
- City
- Madison
- State
- New Jersey
- ZIP Code
- 07940-1295
- Phone
- (973) 593-3117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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