Active NPIIndividual provider

Dr. Charles A Moore, DPT

Physical Therapist in Glassboro, New Jersey

NPI Number1265740161
Practice location
707 N Main St, Glassboro, NJ 08028-1605
Fax
856-307-0289
Last updated
September 14, 2010

Charles Alden Moore is a Physical Therapist based in Glassboro, NJ. Charles Alden Moore practices in Glassboro, NJ and has the professional credentials of DPT. The NPI Number for Charles Alden Moore is 1265740161 and holds a License No. 40QA01370600 (NJ). The current practice location address for Charles Alden Moore is 707 N Main St, Glassboro, NJ 08028-1605 and can be reached out via phone at 856-307-9700 and via fax at 856-307-0289.

Provider Profile Details

NPI Number
1265740161
Provider Name
Charles Alden Moore
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
707 N Main St, Glassboro, NJ 08028-1605
Phone Number
856-307-9700
Fax Number
856-307-0289
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2010
Last Update Date
September 14, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
707 N Main St
Glassboro, NJ 08028-1605
Zip
08028-1605
Phone Number
856-307-9700
Fax Number
856-307-0289
Glassboro, NJ 08028Get directions →

Provider Business Mailing Address Details

Address
30 Appletree Ln
Sewell, NJ 08080-3022
City
Sewell
State
NJ
Zip
08080-3022

License Information

License Number
40QA01370600
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles A Moore, DPT?

The NPI number of Dr. Charles A Moore, DPT is 1265740161. It was assigned on September 14, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles A Moore, DPT?

Dr. Charles A Moore, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01370600.

Where does Dr. Charles A Moore, DPT practice?

The practice location is 707 N Main St, Glassboro, NJ 08028-1605. The office can be reached at 856-307-9700 (phone) or 856-307-0289 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265740161 directly on the NPPES registry website.

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