Individual
DR. GLYNIS MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10845 TOWN CENTER BLVD STE 204, DUNKIRK, MD 20754-2712
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D50233
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2384434
AETNA HMO PCP
MD
01
—
54413801
CAREFIRST OF MARYLAND
MD
01
—
7010013
AETNA NON-HMO
MD
05
—
763260600
—
MD
01
—
8126360
MAMSI HMO
MD
01
—
C0410031
CAREFIRST OF DC
DC
01
—
P00161495
RAILROAD MEDICARE
MD
Enumeration date
01/17/2007
Last updated
07/21/2022
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