Moore, Graham J

Moore, Graham J is an individual health care provider with primary practice located at 140 Hospital Dr Suite 203, Bennington VT 05201-5009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moore, Graham J can be contacted via phone (802) 442-3800.

Contact Information

Primary practice address
140 Hospital Dr Suite 203 Bennington VT 05201-5009
Phone: (802) 442-3800
Fax: (802) 442-3855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0060214 Maryland

Profile Details

NPI number 1659327443
LBN Legal business name Moore, Graham J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Sep 29th, 2008 - about 17 years ago

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 1659327443 NPPES
Massachusetts MEDICAID 2139979
Massachusetts MEDICAID 1013995

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