Individual
DR. THERESA ALINE SLADE-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4601 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032-1131
(202) 574-5730
Mailing address
12118 FOXHILL LN, BOWIE, MD 20715-2323
(240) 432-0368
(877) 991-8354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D 0057823
MD
207R00000X
Internal Medicine Physician
Primary
MD33908
DC
Other
Enumeration date
08/28/2007
Last updated
01/11/2018
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