Moore, James T.

Moore, James T. is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Moore, James T. can be contacted via phone (410) 328-6897.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-6897
Fax: (410) 328-2109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D61840 Maryland
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X D61840 Maryland

Profile Details

NPI number 1053335786
LBN Legal business name Moore, James T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053335786 NPPES
Maryland Other 1703271 UNITED HLTHCARE
Maryland Other 64280701 UNITED HLTHCARE
Maryland Other 0094 UNITED HLTHCARE
Maryland Other 2125712 UNITED HLTHCARE
Maryland MEDICAID 405966200 UNITED HLTHCARE
Maryland Other 243678 UNITED HLTHCARE
Maryland Other 2458751 UNITED HLTHCARE
Maryland Other 88880 UNITED HLTHCARE

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