Individual
CAROLINE S MOAZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, SMYTH BLDG, SUITE G-1; JHU-DEPARTMENT OF ORTHOPAEDICS-G, BALTIMORE, MD 21239
(443) 444-4517
Mailing address
5601 LOCH RAVEN BLVD, SMYTH BLDG, SUITE G-1; JHU-DEPARTMENT OF ORTHOPAEDICS-G, BALTIMORE, MD 21239
(443) 444-4517
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D0072493
MD
Other
Enumeration date
04/06/2007
Last updated
07/12/2011
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