Individual
DR. DOUGLAS B MOGUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BRADY 320, BALTIMORE, MD 21287-0005
(410) 955-8769
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6421
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A101058
CA
Other
Enumeration date
09/21/2007
Last updated
10/18/2021
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