NPI 1114311974
Thomas Moore, CPBMT
Practice location
- Address
- 1020 Madison Ave, Pittsburgh, PA 15212-4946
- Phone
- (855) 606-5426
- Fax
- (412) 321-0128
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1114311974
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Mar 2015
- Record last updated
- 19 Mar 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.