Organization
MOORE OBGYN LLC
Active
Parent organization
MOORE OBGYN LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOORE OBGYN LLC
Authorized official
BROOKE HENDERSON (PRACTICE ADMIN/CREDENTIALING)
(301) 669-1870
Entity
Organization
Contact information
Practice address
1300 CARAWAY CT STE 103, UPPER MARLBORO, MD 20774-5462
(301) 669-1870
(301) 669-1873
Mailing address
7610 PENNSYLVANIA AVE STE 305, FORESTVILLE, MD 20747-4764
(301) 669-1870
(301) 669-1873
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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