| Marguerite T Moran, Md, Llc | |
|
200 E 33rd St Suite 265 Baltimore MD 21218-3322 | |
| (410) 889-9220 | |
| Not Available |
| Full Name | Marguerite T Moran, Md, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 200 E 33rd St, Baltimore, Maryland |
| Authorized Official Name and Position | Marguerite Moran (SOLE PROPRIETOR) |
| Authorized Official Contact | 4108899220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marguerite T Moran, Md, Llc 200 E 33rd St Suite 265 Baltimore MD 21218-3322 Ph: (410) 889-9220 | Marguerite T Moran, Md, Llc 200 E 33rd St Suite 265 Baltimore MD 21218-3322 Ph: (410) 889-9220 |
| NPI Number | 1518262419 |
|---|---|
| Provider Enumeration Date | 01/24/2011 |
| Last Update Date | 01/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518262419 | NPI | - | NPPES |
| 184201300 | Medicaid | MD | |
| OM85MO | Other | MD | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D0008093 (Maryland) | Primary |
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