Individual
DR. VIRGINIA MARILYN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7550 TEAGUE RD, 500, HANOVER, MD 21076-1339
(410) 981-4598
(410) 981-4010
Mailing address
7550 TEAGUE RD, 500, HANOVER, MD 21076-1339
(410) 981-4598
(410) 981-4010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101229835
VA
208000000X
Pediatrics Physician
33844
DC
208000000X
Pediatrics Physician
Primary
D0056804
MD
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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