Individual
RICHARD DOUGLAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9434
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 933-4397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D28516
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366931900
—
MD
Enumeration date
05/18/2006
Last updated
01/10/2014
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