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Michael Moore, LAT
NPI 1811639321 · on the registry since 2022 · sole proprietor
Practice
- Address
- 170 Ridgedale Ave
Madison, NJ 07940 - Phone
- (973) 593-3117
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-13
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 New Jersey