Moore, Thomas C

Moore, Thomas C is an individual health care provider with primary practice located at 830 Harrison Ave Moakley, 2Nd Floor, Boston MA 02118-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Moore, Thomas C can be contacted via phone (617) 638-6525.

Contact Information

Primary practice address
830 Harrison Ave Moakley, 2Nd Floor Boston MA 02118-2905
Phone: (617) 638-6525
Fax: (617) 638-7448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 213436 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 213436 Massachusetts

Profile Details

NPI number 1386621092
LBN Legal business name Moore, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated May 19th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386621092 NPPES
Massachusetts MEDICAID 110033140A

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