Individual provider · Type 1 NPI

Marybeth Aucoin Moore, PA-C, MPH

Medical Physician Assistant · West Hartford, CT

NPI number 1033389192 Active

Practice location

631 Quaker Ln S
West Hartford, CT 06110-1026

Fax (860) 233-5212

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002729 (CT)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1033389192

Marybeth Aucoin Moore, PA-C, MPH's National Provider Identifier is 1033389192, issued on Mar 5, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Hartford, CT. The record was last updated on Apr 25, 2012.