| Maryann D. Moore, Mdpa | |
|
300 Dorchester Ave Cambridge MD 21613-2420 | |
| (410) 228-2603 | |
| (410) 901-6080 |
| Full Name | Maryann D. Moore, Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Dorchester Ave, Cambridge, Maryland |
| Authorized Official Name and Position | Mary Ann Moore (OWNER) |
| Authorized Official Contact | 4102282603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryann D. Moore, Mdpa 300 Dorchester Ave Cambridge MD 21613-2420 Ph: (410) 228-2603 | Maryann D. Moore, Mdpa 300 Dorchester Ave Cambridge MD 21613-2420 Ph: (410) 228-2603 |
| NPI Number | 1639363559 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 08/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639363559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0031766 (Maryland) | Primary |
| 207R00000X | Internal Medicine | C0000549 (Maryland) | Secondary |
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