Moore, Robert R

Moore, Robert R is an sole proprietor health care provider with primary practice located at 4 Edgerton Dr , North Falmouth MA 02556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moore, Robert R can be contacted via phone (508) 564-5084.

Contact Information

Primary practice address
4 Edgerton Dr North Falmouth MA 02556
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 75016 Massachusetts

Profile Details

NPI number 1275599805
LBN Legal business name Moore, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2006
Last updated Jul 6th, 2010 - about 14 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 1275599805 NPPES
Other 761029 TUFS HEALTH
Other J12795 TUFS HEALTH
Other 7851 TUFS HEALTH
MEDICAID 3097978 TUFS HEALTH

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