SearchConnecticut104100000X

George Moore

NPI 1407883366 · on the registry since 2006

Practice

Address
16 Meadow Ln
Canterbury, CT 06331
Phone
(860) 305-2083

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut