Individual
DR. MELISSA MEYERS MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 GLEN OBAN DR, ARNOLD, MD 21012-2105
(410) 693-9183
Mailing address
150 GLEN OBAN DR, ARNOLD, MD 21012-2105
(410) 693-9183
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0034626
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11670003
BSNCABSF
DC
01
—
1212271
UHCARE
MD
01
—
225047
MAMALP
MD
01
—
41817701
BSBSPPO
MD
05
—
484591900
—
MD
Enumeration date
01/20/2007
Last updated
07/18/2024
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