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Individual

ANDREA ROLANDO FRYE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 988-1009
(440) 988-1227
Mailing address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 988-1009
(440) 988-1227

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2008-01668
NC
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
Primary
35.127940
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160808
OH
Enumeration date
09/24/2008
Last updated
11/09/2021
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