Michelle Elizabeth Moore O. D.

NPI 1194795971 - Optometrist - 152W00000X

NPI Details
NPI 1194795971
Gender Female
Enumeration Date 01/25/2006
Last Updated 12/07/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
683 BROAD ST
BRISTOL CT, 06010-6662, US
Phone (860) 583-2020
Fax
Business Location
11 CROWN ST
PLAINVILLE CT, 06062-2214, US
Phone (860) 793-1330
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Connecticut
License Number CT2482
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According to our database, Dr. Michelle Elizabeth Moore O. D. NPI is 1194795971, taxonomy code is 152W00000X and license number is CT2482, license state is located at Connecticut. Michelle Elizabeth Moore O. D. physically located at 683 Broad St, Bristol CT, 06010-6662. NPI Number Michelle Elizabeth Moore O. D. has the Individual type.

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1194795971 NPI number is provided on an as is basis without warranty of any kind. 1194795971 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Elizabeth Moore O. D. are for informational purposes only.