# JAVAKA MOORE M.D.

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

## Provider details

- **NPI number:** 1649564725
- **Authorized official:** JAVAKA K MOORE MD (PROVIDER)
- **Authorized official phone:** (202) 270-7017

## Contact information

- **Practice address:** 7610 PENNSYLVANIA AVE, SUITE 305, FORESTVILLE, MD 20747-4701
- **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:** 06/06/2011
- **Last updated:** 06/06/2011