Individual
TAMMY MOORE-WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 WADSWORTH WAY, BALTIMORE, MD 21239-3109
(443) 621-0197
Mailing address
1810 WADSWORTH WAY, BALTIMORE, MD 21239-3109
(443) 621-0197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NDB07262012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NDB07262012
DMEHS
MD
Enumeration date
07/26/2012
Last updated
07/26/2012
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