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Qadara Farih Moore, PA-C
Medical Physician Assistant in New Haven, Connecticut
NPI 1821049206

Qadara Farih Moore is a Medical Physician Assistant based in New Haven, CT and is specialized in Medical. Qadara Farih Moore practices in New Haven, CT and has the professional credentials of PA-C. The NPI Number for Qadara Farih Moore is 1821049206 and holds a License No. 001633 (Connecticut).

The current practice location address for Qadara Farih Moore is 374 Grand Ave, New Haven, CT and can be reached out via phone at 203-777-7411 and via fax at 203-777-6508. You can also correspond with Qadara Farih Moore through the mailing address at 374 GRAND AVE, NEW HAVEN, CT - 06513-3733 (mailing address contact number: 203-777-7411).

Location: 374 Grand Ave, New Haven, CT, 06513-3733
person
Provider Profile Details
NPI Number
1821049206
Provider Name
Qadara Farih Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
374 Grand Ave, New Haven, CT, 06513-3733
Phone Number
203-777-7411
Fax Number
203-777-6508
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6543809 01 NY NEW YORK STATE (CERTIFICATE NUMBER)
1066955 01 NCCPA CERTIFICATION
012904 01 NY NEW YORK STATE (LICENSE NUMBER)
11485065 01 CT CAQH
38064 01 CT CONNECTICUT CONNECTICUT CONTROLLED SUBSTANCE
institution
Provider Business Practice Location Address Details
Address
374 Grand Ave
City
State
Zip
06513-3733
Phone Number
203-777-7411
Fax Number
203-777-6508
person
Provider Business Mailing Address Details
Address
374 Grand Ave
City
State
Zip
06513-3733
Phone Number
203-777-7411
Fax Number
203-777-6508
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001633 (Connecticut)
Definition
Definition to come...
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