| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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: Medicare Enrolled 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 | |
Mr. John F Donegan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 Victoria St, Glassboro, NJ 08028 Phone: 856-536-1475 | |
Dr. Christopher Michael Carroll, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 Rowan Blvd, Glassboro, NJ 08028 Phone: 856-347-0333 |