Organization
ANTHONY J MOORMAN MD AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JUDE MOORMAN M.D. (PRESIDENT)
(410) 810-0767
Entity
Organization
Contact information
Practice address
120 SPEER RD, SUITE 2, CHESTERTOWN, MD 21620-1044
(410) 810-0767
(410) 810-0769
Mailing address
120 SPEER RD, SUITE 2, CHESTERTOWN, MD 21620-1044
(410) 810-0767
(410) 810-0769
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0045212
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5376AJ
BLUECROSS BLUESHIELD
MD
01
—
W138
CAREFIRST BLUE CHOICE
MD
Enumeration date
04/06/2007
Last updated
04/20/2008
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