Provider Demographics
NPI:1033174008
Name:MOORE, HAROLD R (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:R
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:213 WEST ST
Mailing Address - Street 2:STE 1
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757
Mailing Address - Country:US
Mailing Address - Phone:508-478-5372
Mailing Address - Fax:508-478-5374
Practice Address - Street 1:213 WEST ST
Practice Address - Street 2:STE 1
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757
Practice Address - Country:US
Practice Address - Phone:508-478-5372
Practice Address - Fax:508-478-5374
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2012-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA49671207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease