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Jesse Moore, MD — NPI 1174641161, Burlington, VT | NPI Central

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NPI 1174641161

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Jesse Moore, MD

NPI 1174641161 · Colon & Rectal Surgery Physician · Burlington, VT

Provider details

NPI number: 1174641161
Entity type: Individual
Primary specialty: Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 261340 (NY)

Specialties & taxonomies

Colon & Rectal Surgery PhysicianPrimary208C00000XLicense 0420012220 (VT)
Allopathic & Osteopathic Physicians
Colon & Rectal Surgery Physician208C00000XLicense 261340 (NY)
Allopathic & Osteopathic Physicians

Practice location

111 Colchester Ave

Burlington, VT 05401-1473

Phone: (802) 847-1288

Approximate (ZIP-level) locationGet directions

More VT providers

Mailing address

111 Colchester Ave

Burlington, VT 05401-1473

Additional practice locations (1)

75 Beekman St
Plattsburgh, NY 12901-1438
Phone: (518) 561-2000

Registry dates

Enumerated: 2007-03-27
Last updated: 2023-03-27
Certified: 2023-03-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.