NPI 1174641161

Jesse S Moore, MD

Practitioner Colon & Rectal Surgery Physician Burlington, VT

Practice location

Address: 111 Colchester Ave, Burlington, VT 05401-1473
Phone: (802) 847-1288

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 0420012220 (VT)

Other Colon & Rectal Surgery providers in Vermont →

Colon & Rectal Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 261340 (NY)

Registry record

NPI: 1174641161
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2007
Record last updated: 27 Mar 2023

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.