Dr Molly Moore, MD | |
111 Colchester Ave, Burlington, VT 05401-1473 | |
(802) 847-0000 | |
Not Available |
Full Name | Dr Molly Moore |
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Gender | Female |
Speciality | Pediatrics |
Location | 111 Colchester Ave, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174780902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 244987 (Massachusetts) | Primary |
208000000X | Pediatrics | 042.0012700 (Vermont) | Secondary |
Entity Name | Edward M Kennedy Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609842152 PECOS PAC ID: 3476512740 Enrollment ID: O20041004000840 |
Mailing Address | Practice Location Address |
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Dr Molly Moore, MD 650 Lincoln St, Worcester, MA 01605-2060 Ph: () - | Dr Molly Moore, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000 |
Dr. Kelly Curtis Blanchet, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2345 | |
Dr. William Raszka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-8200 Fax: 802-847-8742 | |
Dr. Valerie J. Riss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave., C/o Uvm Medical Center, Children's/pedi-hospitalists, Burlington, VT 05401 Phone: 802-847-2700 | |
Dr. Nancy A Drucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-8200 Fax: 802-847-8742 | |
Dr. Nilgun Tapucu Zimakas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-4696 Fax: 902-847-4612 | |
Dr. Joseph Francis Hagan Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 128 Lakeside Ave, Suite 115, Burlington, VT 05401 Phone: 802-860-1928 | |
Elizabeth Schindler Perzanowski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-4696 Fax: 802-847-4612 |