Stephanie D Moore (NPI# 1396874087, PAC ID# 2860530086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1396874087 |
| PAC ID by PECOS | 2860530086 |
| Professional Enrollment ID | I20091109000598 |
| Full Name | Stephanie D Moore |
| Address |
567 Vauxhall St Extension Suite 107 Waterford CT 06385-4331 |
| Phone Number | 8604391980 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 567 Vauxhall St Extension, Suite 107, Waterford, CT 06385-4331 | 8604391980 |
| Street Address |
567 VAUXHALL ST EXTENSION SUITE 107 |
| City | WATERFORD |
| State | CT |
| Zip | 06385-4331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian C Cambi | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Anthony D Quinn | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Costin Nicolae Ionescu | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Jude F Clancy | Cardiac Electrophysiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Richard A Fraser | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Rachelle Darout | Family Medicine | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Carlos I Mena-hurtado | Interventional Cardiology | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| David F Crawley | Urology | Hartford Healthcare Medical Group Specialists LLC | 196 Pkwy S, Suite 201, Waterford, CT 06385 |
| Mark Somers | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Valerie B Popkin | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 196 Pkwy S, Suite 103, Waterford, CT 06385 |
| Find all physicians in zip 06385 | |||
| City | WATERFORD |
| Zip Code | 06385 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | WATERFORD + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Stephanie D Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.