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Organization

MARGUERITE T MORAN, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARGUERITE MORAN M.D. (SOLE PROPRIETOR)
(410) 889-9220
Entity
Organization

Contact information

Practice address
200 E 33RD ST, SUITE 265, BALTIMORE, MD 21218-3322
(410) 889-9220
Mailing address
200 E 33RD ST, SUITE 265, BALTIMORE, MD 21218-3322
(410) 889-9220

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0008093
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184201300
MD
01
OM85MO
BLUE CROSS
MD
Enumeration date
01/24/2011
Last updated
01/24/2011
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