Moore, Brian E.

Moore, Brian E. is an individual health care provider with primary practice located at 670 Albany St Ste 304 , Boston MA 02118-2646. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Neuropathology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Moore, Brian E. can be contacted via phone (617) 414-4291.

Contact Information

Primary practice address
670 Albany St Ste 304 Boston MA 02118-2646
Phone: (617) 414-4291
Fax: (617) 414-5315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 284981 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X DR.0055623 Colorado
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036115598 Illinois
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X 284981 Massachusetts

Profile Details

NPI number 1265524730
LBN Legal business name Moore, Brian E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jun 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265524730 NPPES
Massachusetts MEDICAID 110165424A

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