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Individual

ILYSSA PAIGE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201 E UNIVERSITY PKWY, DEPARTMENT OF SURGERY, BALTIMORE, MD 21218
(410) 554-2782
(443) 444-3430
Mailing address
201 E UNIVERSITY PKWY, DEPARTMENT OF SURGERY, BALTIMORE, MD 21218
(410) 554-2782
(443) 444-3430

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D95255
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/21/2018
Last updated
09/12/2022
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