Individual
JEAN MARGARET MORESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
810 LANDMARK DRIVE, SUITE 217-219, GLEN BURNIE, MD 21061
(888) 276-2223
(972) 767-0225
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
D46165
MH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D46165
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776838900
—
MD
Enumeration date
05/17/2006
Last updated
03/13/2024
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