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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL JOSEPH MOORE, LAT

Active Sole Proprietor

MR. MICHAEL JOSEPH MOORE, LAT is a Athletic Trainer healthcare provider located in MADISON, New Jersey. NPI 1811639321 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MADISON, NJ

Registration Details

NPI Number
1811639321
Provider Type
Individual
Gender
Male
NPI Issued
Apr 13, 2022 (4.3056118015315 yrs)
Last Updated
Apr 13, 2022
License
25MT00285700 (NJ)
Sole Proprietor
Yes

Practice Information

Address
170 RIDGEDALE AVE
MADISON, NJ, 079401295
Browse NJ providers · Browse ZIP 07940
Phone
9735933117
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MADISON, NJ

Name Credential NPI
CHRIS RYAN ATC 1932138286
KARISSA CARTY A.T.C. 1679920854
MR. DANIEL THOMAS NEIPER ATC 1124579289
DENISE GORMLEY ATC 1235709924
YANDERI JIMENEZ RESTITUYO ATC, LAT 1427806496
MICHAEL JAMES RAMUNDO 1023989001
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.