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CECILIA G. MOORE DPM LLC NPI 1962685396


NPI Information

NPI: 1962685396
Provider Name: CECILIA G. MOORE DPM LLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
214 ORLEANS RD
SUITE C
NORTH CHATHAM, MA
ZIP 02650
Phone: (508) 945-8720
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CECILIA G. MOORE DPM LLC is a foot surgery podiatrist in North Chatham, MA. CECILIA G. MOORE DPM LLC NPI is 1962685396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

214 ORLEANS RD
SUITE C
NORTH CHATHAM, MA
ZIP 02650-101
Phone: (508) 945-8720
Fax: (508) 945-8724

The provider's authorized official is Cecilia G Moore .
The authorized official title is Owner and has the following contact phone number (508) 945-8720.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot Surgery2197MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U96705MEDICARE UPINMASSACHUSETTS
2Y77351OTHERMASSACHUSETTSBLUE SHIELD OF MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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