Individual
DR. MOIRA U BOGROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, DEPT OF PSYCHIATRY, BALTIMORE, MD 21215-5216
(410) 601-5355
(410) 601-6302
Mailing address
2401 W BELVEDERE AVE, DEPT OF CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D0037121
MD
2084P0802X
Addiction Psychiatry Physician
Primary
D0037121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093591300
—
MD
Enumeration date
04/07/2006
Last updated
10/18/2007
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