Provider Demographics
NPI:1992838387
Name:MOORE, TARQUIN OLIVER (MD)
Entity Type:Individual
Prefix:DR
First Name:TARQUIN
Middle Name:OLIVER
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 116
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:853-342-2990
Mailing Address - Fax:856-968-8223
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 116
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:853-342-2990
Practice Address - Fax:856-968-8223
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA070307207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine