Dr Charles Alden Moore, DPT | |
707 N Main St, Glassboro, NJ 08028-1605 | |
(856) 307-9700 | |
(856) 307-0289 |
Full Name | Dr Charles Alden Moore |
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Gender | Male |
Speciality | Physical Therapist |
Location | 707 N Main St, Glassboro, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265740161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01370600 (New Jersey) | Primary |
Provider Name | Shore Orthopedics, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245694520 PECOS PAC ID: 8628367885 Enrollment ID: O20160512000121 |
Mailing Address | Practice Location Address |
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Dr Charles Alden Moore, DPT 30 Appletree Ln, Sewell, NJ 08080-3022 Ph: () - | Dr Charles Alden Moore, DPT 707 N Main St, Glassboro, NJ 08028-1605 Ph: (856) 307-9700 |
Dr. Tara Cox, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Rowan Blvd, Glassboro, NJ 08028 Phone: 856-347-0333 Fax: 856-230-7164 | |
Reach Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 72 Hetton Ct, Glassboro, NJ 08028 Phone: 856-885-0628 | |
Alexander Jordan Pena, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Rowan Blvd, Glassboro, NJ 08028 Phone: 856-347-0333 | |
Jessica Lucas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 N Main St Ste 1, Glassboro, NJ 08028 Phone: 856-307-9700 | |
Dr. Christopher Michael Carroll, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Rowan Blvd, Glassboro, NJ 08028 Phone: 856-347-0333 | |
Ms. Sabrina Tsaabbast, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 502 Demoss Ct, Glassboro, NJ 08028 Phone: 917-673-7095 |