Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN M MOORE, PA
ActiveJOHNATHAN M MOORE, PA is a Physician Assistant healthcare provider located in DANIELSON, Connecticut. NPI 1467112250 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DANIELSON, CT
Registration Details
- NPI Number
- 1467112250
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2021 (4.6406508420279 yrs)
- Last Updated
- Aug 23, 2022
Practice Information
- Address
-
55 GREEN HOLLOW RDDANIELSON, CT, 062393533Browse CT providers · Browse ZIP 06239
- Phone
- 8607791865
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DANIELSON, CT
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE ERICA FARMER | PA-C | 1295202927 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.