| Doctor Name: | DR. DONNICA LAUREN MOORE |
| NPI Number: | 1194157131 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MA052403 |
| Business Practice Address: | 3 St Bernards Rd Far Hills, NJ - 079312727 |
| Business Phone Number: | 9082342702 |
| Business Fax Number: | 9082342703 |
| Mailing Address: | 3 St Bernards Rd, FAR HILLS |
| State: | NJ |
| Postal Code: | 079312727 |
| Phone Number: | 9082342702 |
| Fax Number: | 9082342703 |
| NPI Enumeration Date: | 08/01/2013 |
| NPI Last Update Date: | 08/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MA052403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |