Provider Demographics
NPI:1962555821
Name:MOORE, ADAIR J (CMT)
Entity type:Individual
Prefix:MRS
First Name:ADAIR
Middle Name:J
Last Name:MOORE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:MRS
Other - First Name:ADAIR
Other - Middle Name:J
Other - Last Name:MOORE-SATTELY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CMT
Mailing Address - Street 1:45 HALFWAY HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-3515
Mailing Address - Country:US
Mailing Address - Phone:973-335-7080
Mailing Address - Fax:973-989-1201
Practice Address - Street 1:6 E BLACKWELL ST
Practice Address - Street 2:SUITE 16
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-4657
Practice Address - Country:US
Practice Address - Phone:908-689-0519
Practice Address - Fax:973-989-1201
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ279776175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath