# MOORE OBGYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moore OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164857512
- **Authorized official:** JAVAKA MOORE M.D. (CHIEF EXECUTIVE MANAGER)
- **Authorized official phone:** (301) 669-1870

## Contact information

- **Practice address:** 6196 OXON HILL RD STE 610, OXON HILL, MD 20745-3112
- **Practice address phone:** (301) 669-1870
- **Practice address fax:** (301) 669-1873
- **Mailing address:** 7610 PENNSYLVANIA AVE, SUITE 305, FORESTVILLE, MD 20747-4701
- **Mailing address phone:** (301) 669-1870
- **Mailing address fax:** (301) 669-1873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 06/12/2025