Individual
DR. ROBERT FRANCIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(617) 947-6658
Mailing address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(617) 947-6658
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
D0088943
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6456
LAST FOUR OF SSN
—
Enumeration date
06/20/2016
Last updated
07/06/2020
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