# MOORE OBGYN LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOORE OBGYN LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235024712
- **Legal business name:** MOORE OBGYN LLC
- **Authorized official:** BROOKE HENDERSON (PRACTICE ADMIN)
- **Authorized official phone:** (301) 669-1870

## Contact information

- **Practice address:** 2045 UNIVERSITY BLVD E STE 102, HYATTSVILLE, MD 20783-4137
- **Practice address phone:** (301) 669-1870
- **Practice address fax:** (301) 669-1870
- **Mailing address:** 7610 PENNSYLVANIA AVE STE 305, FORESTVILLE, MD 20747-4764
- **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:** 06/12/2025
- **Last updated:** 06/12/2025