Individual
DR. JUSTIN MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNP
Contact information
Practice address
5900 WATERLOO RD STE 200, COLUMBIA, MD 21045-2641
(410) 740-2900
(410) 740-2955
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
R239415
MD
363LP2300X
Primary Care Nurse Practitioner
Primary
R239415
MD
Other
Enumeration date
07/23/2024
Last updated
09/23/2024
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