Individual
JUSTIN MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 N LINWOOD AVE, BALTIMORE, MD 21224-1247
(443) 604-7656
Mailing address
122 N LINWOOD AVE, BALTIMORE, MD 21224-1247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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