Matthew Douglas Moore MD

NPI 1649440959 - Pediatrics - 208000000X

NPI Details
NPI 1649440959
Gender Male
Enumeration Date 03/04/2008
Last Updated 05/18/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
CHESAPEAKE VA, 23321-2201, US
Phone (757) 215-1800
Fax (757) 215-1821
Business Location
PO BOX 758963
BALTIMORE MD, 21275-8963, US
Phone (804) 822-4355
Fax (804) 217-7991
Taxonomy Code 208000000X
License State Virginia
License Number 0101243995
Remove 1649440959 NPI Number

According to our database, Matthew Douglas Moore MD NPI is 1649440959, taxonomy code is 208000000X and license number is 0101243995, license state is located at Virginia. Matthew Douglas Moore MD physically located at 2425 Taylor Rd, Chesapeake VA, 23321-2201. NPI Number Matthew Douglas Moore MD has the Individual type.

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1649440959 NPI number is provided on an as is basis without warranty of any kind. 1649440959 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Douglas Moore MD are for informational purposes only.