Charles E Moore, Md Ii | |
4 E Rolling Crossroads Suite 102 Catonsville MD 21228-6210 | |
(410) 869-3344 | |
(410) 869-3340 |
Full Name | Charles E Moore, Md Ii |
---|---|
Speciality | Internal Medicine |
Location | 4 E Rolling Crossroads, Catonsville, Maryland |
Authorized Official Name and Position | Charles E Moore (PRINCIPAL) |
Authorized Official Contact | 4108693344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charles E Moore, Md Ii Po Box 257 West Friendship MD 21794-0257 Ph: (410) 869-3344 | Charles E Moore, Md Ii 4 E Rolling Crossroads Suite 102 Catonsville MD 21228-6210 Ph: (410) 869-3344 |
NPI Number | 1821393919 |
---|---|
Provider Enumeration Date | 01/20/2011 |
Last Update Date | 07/15/2011 |
Medicare PECOS PAC ID | 1759559859 |
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Medicare Enrollment ID | O20110715000254 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821393919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0035330 (Maryland) | Primary |
Provider Name | Charles E Moore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275687493 PECOS PAC ID: 3870761984 Enrollment ID: I20110719000213 |
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