Individual
BRADLEY WILLIAM MOATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 N CALVERT ST STE 655, BALTIMORE, MD 21218-6516
(410) 554-2867
(410) 554-2917
Mailing address
3333 N CALVERT ST STE 655, BALTIMORE, MD 21218-6516
(410) 554-2867
(410) 554-2917
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
71264
GA
207X00000X
Orthopaedic Surgery Physician
Primary
D79199
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095853100
—
MD
Enumeration date
07/07/2008
Last updated
08/06/2019
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