Individual provider · Type 1 NPI
Caitlin C. Moore, PA-C
Surgical Physician Assistant · Ridley Park, PA
NPI number
1588064869
Active
Practice location
1 Bartol Ave, Suite 100
Ridley Park, PA 19078-2214
Fax (610) 521-3983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA057053 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1588064869
Caitlin C. Moore, PA-C's National Provider Identifier is 1588064869, issued on Aug 24, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Ridley Park, PA. The record was last updated on Feb 8, 2017.