Clen Damon Moore, MD | |
46440 Benedict Dr, Ste 207, Sterling, VA 20164-6602 | |
(703) 444-2100 | |
(703) 444-0386 |
Full Name | Clen Damon Moore |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 46440 Benedict Dr, Sterling, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710982640 | NPI | - | NPPES |
1710982640 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101056399 (Virginia) | Primary |
Mailing Address | Practice Location Address |
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Clen Damon Moore, MD Po Box 17334, Baltimore, MD 21297-1334 Ph: (703) 443-6717 | Clen Damon Moore, MD 46440 Benedict Dr, Ste 207, Sterling, VA 20164-6602 Ph: (703) 444-2100 |
Lolita Lopez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43547 Freeport Pl, Sterling, VA 20166 Phone: 703-996-8119 | |
Mr. Charles J A Schulte Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Pidgeon Hill Dr, #202, Sterling, VA 20165 Phone: 703-444-1144 Fax: 703-444-6679 | |
Lori R Andrew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46440 Benedict Dr, Ste 207, Sterling, VA 20164 Phone: 703-444-2100 Fax: 703-444-0386 | |
Claude Farid Karam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 21155 Whitfield Pl Ste 102, Sterling, VA 20165 Phone: 571-434-7337 Fax: 571-434-7338 | |
Kimberly S Kolb, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 46440 Benedict Dr, Ste 207, Sterling, VA 20164 Phone: 703-444-2100 Fax: 703-444-0386 | |
Dr. Hala Mohammad Abdallah, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Pidgeon Hill Dr, Suite 109, Sterling, VA 20165 Phone: 703-956-9045 Fax: 703-956-9822 | |
Jamille T Cooper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46440 Benedict Drive, Suite 207, Sterling, VA 20164 Phone: 703-444-2100 Fax: 703-444-0386 |