Active NPIIndividual provider

Mr. Christopher D Moore, PAC

Physician Assistant in New Milford, Connecticut

NPI Number1447536461
Practice location
2 Old Park Ln, New Milford, CT 06776-2560
Fax
860-350-2224
Last updated
October 24, 2011

Christopher David Moore is a Physician Assistant based in New Milford, CT. Christopher David Moore practices in New Milford, CT and has the professional credentials of PAC. The NPI Number for Christopher David Moore is 1447536461 and holds a License No. 002670 (CT). The current practice location address for Christopher David Moore is 2 Old Park Ln, New Milford, CT 06776-2560 and can be reached out via phone at 860-350-9000 and via fax at 860-350-2224.

Provider Profile Details

NPI Number
1447536461
Provider Name
Christopher David Moore
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
2 Old Park Ln, New Milford, CT 06776-2560
Phone Number
860-350-9000
Fax Number
860-350-2224
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2011
Last Update Date
October 24, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Old Park Ln
New Milford, CT 06776-2560
Zip
06776-2560
Phone Number
860-350-9000
Fax Number
860-350-2224
New Milford, CT 06776Get directions →

Provider Business Mailing Address Details

Address
2 Old Park Ln
New Milford, CT 06776-2560
City
New Milford
State
CT
Zip
06776-2560
Phone Number
860-350-9000
Fax Number
860-350-2224

License Information

License Number
002670
License State
CT
Taxonomy
Physician Assistant · 363A00000X · 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 Mr. Christopher D Moore, PAC?

The NPI number of Mr. Christopher D Moore, PAC is 1447536461. It was assigned on October 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Christopher D Moore, PAC?

Mr. Christopher D Moore, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 002670.

Where does Mr. Christopher D Moore, PAC practice?

The practice location is 2 Old Park Ln, New Milford, CT 06776-2560. The office can be reached at 860-350-9000 (phone) or 860-350-2224 (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 1447536461 directly on the NPPES registry website.

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