Michael K Moore in Hackensack - Physician Assistant
Michael K Moore - NPI 1396786612
Michael K Moore is a Physician Assistant in Hackensack, New Jersey. Michael K Moore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael K Moore is 1396786612. The last update date is 2007-07-08.
Michael K Moore's current location address is 30 Prospect Ave, Hackensack, New Jersey. You can contact this provider via phone number 2014413349. The mailing address for Michael K Moore is 30 Prospect Ave, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael K Moore |
|---|---|
| Address | 30 Prospect Ave, Hackensack, New Jersey |
| Phone Number | 2014413349 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396786612 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30 Prospect Ave |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 76011914 |
| Phone Number | 2014413349 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MP000518 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Where is the Michael K Moore located?
The Michael K Moore is located at 30 Prospect Ave, Hackensack, NJ 76011914.
What is the area of specialization for Michael K Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael K Moore is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Michael K Moore's 1396786612 issued?
The Michael K Moore's 1396786612 was issued on 2006-06-09.
On what date did the Centers for Medicare & Medicaid Services issue the 1396786612 to Michael K Moore?
The Michael K Moore received its 1396786612 assignment from the Centers for Medicare & Medicaid Services on 2006-06-09.
When was the Michael K Moore's information last updated?
The Michael K Moore's information was last updated on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN