Moore, Stephanie A

Moore, Stephanie A is an individual health care provider with primary practice located at 55 Fruit St # 800 Department Of Cardiovascular Medicine, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Moore, Stephanie A can be contacted via phone (617) 726-9554.

Contact Information

Primary practice address
55 Fruit St # 800 Department Of Cardiovascular Medicine Boston MA 02114-2621
Phone: (617) 726-9554
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 222943 Massachusetts
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 54742 Kentucky

Profile Details

NPI number 1740261486
LBN Legal business name Moore, Stephanie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Oct 25th, 2022 - about 3 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 1740261486 NPPES
Kentucky MEDICAID 7100722310
Kentucky MEDICAID 2083795

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