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Organization
MARYANN D. MOORE, MDPA
Active
Organization
MARYANN D. MOORE, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN MOORE M.D. (OWNER)
(410) 228-2603
Entity
Organization
Contact information
Practice address
300 DORCHESTER AVE, CAMBRIDGE, MD 21613-2420
(410) 228-2603
(410) 901-6080
Mailing address
300 DORCHESTER AVE, CAMBRIDGE, MD 21613-2420
(410) 228-2603
(410) 901-6080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C0000549
MD
207R00000X
Internal Medicine Physician
Primary
D0031766
MD
Other
Enumeration date
09/04/2007
Last updated
08/06/2010
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