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Organization

CYNTHIA J. MOORMAN, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CYNTHIA JOY MOORMAN M.D. (PRESIDENT)
(301) 662-4868
Entity
Organization

Contact information

Practice address
77 THOMAS JOHNSON DR, SUITE K, FREDERICK, MD 21702-4893
(301) 662-4868
(301) 662-4200
Mailing address
77 THOMAS JOHNSON DR, SUITE K, FREDERICK, MD 21702-4893
(301) 662-4868
(301) 662-4200

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0054731
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA7824
MEDICARE RAILROAD
MD
Enumeration date
01/24/2007
Last updated
12/17/2007
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