Individual
DR. JAVAKA K MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7610 PENNSYLVANIA AVE STE 305, FORESTVILLE, MD 20747-4764
(301) 669-1870
Mailing address
7610 PENNSYLVANIA AVE, SUITE 305, FORESTVILLE, MD 20747
(301) 669-1870
(301) 669-1873
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0065087
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0065087
MEDICAL LICENSE
MD
Enumeration date
12/11/2006
Last updated
06/09/2025
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