Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D0039462 | MD |
NPI | 1003849290 |
---|---|
Provider Name | Dr. Raymond Moy |
First Address | Baltimore, MD 21208-6320 |
Second Address | Timonium, MD 21093-3200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 22/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017 | CAREFIRST DC (01) | |
039585 | JOHNS HOPKINS HEATLHCARE (01) | |
1201189 | (05) | MD |
151511000 | (05) | MD |
1765049 | UNITED HEALTHCARE (01) | |
2105540 | AETNA HMO (01) | |
281968 | MAMSI (01) | |
52295301 | CAREFIRST MARYLAND (01) | |
5329700 | AETNA PPO (01) | |
5749822004 | CIGNA (01) | |
708979 | NCPPO (01) | |
72675 | (05) | MD |
9981 | KAISER (01) | |
E89917 | (02) |