Provider Demographics
NPI:1083725303
Name:MOORE, EVA MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:MICHELE
Last Name:MOORE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:200 N WOLFE ST
Mailing Address - Street 2:SUITE 2083
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0011
Mailing Address - Country:US
Mailing Address - Phone:443-287-3974
Mailing Address - Fax:410-502-5440
Practice Address - Street 1:200 N WOLFE ST
Practice Address - Street 2:SUITE 2083
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0011
Practice Address - Country:US
Practice Address - Phone:443-287-3974
Practice Address - Fax:410-502-5440
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2010-09-20
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Provider Licenses
StateLicense IDTaxonomies
MDFM19377392080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine