Richard Jay Moore in San Mateo - Internal Medicine

Richard Jay Moore - NPI 1992753040

Richard Jay Moore is a Internal Medicine in San Mateo, California. Richard Jay Moore practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Jay Moore is 1992753040. The last update date is 2010-01-14.

Richard Jay Moore's current location address is 63 Bovet Rd, San Mateo, California. You can contact this provider via phone number 6505394224 and fax number 6502922149. The mailing address for Richard Jay Moore is 63 Bovet Rd, San Mateo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Jay Moore
Address 63 Bovet Rd, San Mateo, California
Phone Number 6505394224
Fax Number 6502922149
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1992753040
Provider Enumeration Date 2006-05-04
Last Updated Date 2010-01-14

Provider Mailing Address Detail

Address 63 Bovet Rd
City San Mateo
State California (CA)
Post Code 944023104
Phone Number 6505394224
Fax Number 6502922149

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G63467
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OOG63467O CA --

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FAQs about Richard Jay Moore

What is the unique 10-digit identifier code assigned to Richard Jay Moore by the Centers for Medicare & Medicaid Services?

The Richard Jay Moore has been issued the NPI (National Provider Identifier) 1992753040 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Richard Jay Moore?

The Richard Jay Moore is physically situated at 63 Bovet Rd, in the city of San Mateo, state of CA, with the postal code 944023104.

What is the area of specialization for Richard Jay Moore, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Richard Jay Moore is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date did Richard Jay Moore receive its 1992753040 assignment from the Centers for Medicare & Medicaid Services?

The Richard Jay Moore was assigned its 1992753040 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Richard Jay Moore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Jay Moore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-01-14.

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