| Charles E Moore, MD II | |
|
4 E Rolling Crossroads Suite 102 Catonsville MD 21228-6210 | |
| (410) 869-3344 | |
| (410) 869-3340 |
| Full Name | Charles E Moore, MD II |
|---|---|
| Speciality | Internal Medicine |
| Location | 4 E Rolling Crossroads, Catonsville, Maryland |
| Authorized Official Name and Position | Charles E Moore (PRINCIPAL) |
| Authorized Official Contact | 4108693344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E Moore, MD II Po Box 257 West Friendship MD 21794-0257 Ph: (410) 869-3344 | Charles E Moore, MD II 4 E Rolling Crossroads Suite 102 Catonsville MD 21228-6210 Ph: (410) 869-3344 |
| NPI Number | 1821393919 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 07/15/2011 |
| Medicare PECOS PAC ID | 1759559859 |
|---|---|
| Medicare Enrollment ID | O20110715000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821393919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0035330 (Maryland) | Primary |
| Provider Name | Charles E Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275687493 PECOS PAC ID: 3870761984 Enrollment ID: I20110719000213 |
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