Jesse S Moore in Burlington - Colon & Rectal Surgery
Jesse S Moore - NPI 1174641161
Jesse S Moore is a Colon & Rectal Surgery in Burlington, Vermont. Jesse S Moore practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Jesse S Moore is 1174641161. The last update date is 2023-03-27.
Jesse S Moore's current location address is 111 Colchester Ave, Burlington, Vermont. You can contact this provider via phone number 8028471288. The mailing address for Jesse S Moore is 111 Colchester Ave, Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse S Moore |
|---|---|
| Address | 111 Colchester Ave, Burlington, Vermont |
| Phone Number | 8028471288 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174641161 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2023-03-27 |
Provider Mailing Address Detail
| Address | 111 Colchester Ave |
|---|---|
| City | Burlington |
| State | Vermont (VT) |
| Post Code | 54011473 |
| Phone Number | 8028471288 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 261340 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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What is the Jesse S Moore's 1174641161?
The Jesse S Moore's NPI (National Provider Identifier) Number is 1174641161. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jesse S Moore's facilities are situated?
The facilities of Jesse S Moore are physically located at the following address: 111 Colchester Ave, Burlington, VT, 54011473.
What is Jesse S Moore's area of expertise and its corresponding taxonomy classification?
The Jesse S Moore's field of specialization is Colon & Rectal Surgery, and it falls under the taxonomy code 208C00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Jesse S Moore receive its 1174641161 assignment from the Centers for Medicare & Medicaid Services?
The Jesse S Moore was assigned its 1174641161 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jesse S Moore most recently updated or revised?
The information pertaining to Jesse S Moore, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-27.
NPI Number: 1902809924
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