Individual
DR. JAMES T. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6897
(410) 328-2109
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4742
(410) 328-6897
(410) 328-2109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D61840
MD
2086S0120X
Pediatric Surgery Physician
Primary
D61840
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094
CAREFIRST REGIONAL
MD
01
—
1703271
UNITED HLTHCARE
MD
01
—
2125712
MDIPA
MD
01
—
243678
KAISER
MD
01
—
2458751
UNITED HLTHCARE NATIONAL
MD
05
—
405966200
—
MD
01
—
64280701
BLUE SHIELD
MD
01
—
88880
GEISINGER
MD
Enumeration date
07/26/2006
Last updated
09/19/2019
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