Dr. Molly Moore, MD
Pediatrics in Burlington, VT. Individual provider (NPI-1).
NPI number1174780902
StatusActive
Last updated in NPPESFeb 12, 2021
Details
- NPI
- 1174780902
- Entity type
- Individual (NPI-1)
- Name
- Dr. Molly Moore
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2008
- Certification date
- Feb 12, 2021
- Last updated
- Feb 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 244987 | MA | Yes |
| 208000000X | Pediatrics | 042.0012700 | VT |
Practice location
111 Colchester AveBurlington, VT 05401-1473
Phone 802-847-0000
Mailing address
650 Lincoln StWorcester, MA 01605-2060
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