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Individual

DR. SHERI N MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
609 DAFFIN LN, DENTON, MD 21629
(410) 479-2650
(410) 479-1626
Mailing address
PO BOX 660, DENTON, MD 21629
(410) 479-4306
(410) 479-1714

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H60809
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121247
PRIORITY PARTNERS
MD
01
2115772
MAMSI/ALLIANCE
MD
01
521116591
TRICARE
MD
01
6178544
CIGNA
MD
01
62162901
CAREFIRST BC/BS RENDERING
MD
01
7083515
AETNA
MD
01
735699
NCPPO
MD
01
745317
COVENTRY
MD
05
784381000
MD
01
8115772
OPTIMUM CHOICE/MDIPA
MD
01
P16115
CAREFIRST BC/BS POS
MD
01
T5880023
CF BC/BS GRP/GHMSI/BL CHO
MD
Enumeration date
02/21/2006
Last updated
06/30/2008
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