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Dr. Andrew Moultrie, MD
General Practice Physician in Jessup, Maryland
NPI 1376746545

Andrew Moultrie is a General Practice Physician based in Elkridge, MD. Andrew Moultrie practices in Jessup, MD and has the professional credentials of MD. The NPI Number for Andrew Moultrie is 1376746545 and holds a License No. D0068511 (Maryland).

The current practice location address for Andrew Moultrie is 7555 Waterloo Rd, Jessup, MD and can be reached out via phone at 410-799-3400.

Location: 7555 Waterloo Rd, Jessup, MD, 21075-6879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376746545
Provider Name
Andrew Moultrie
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7555 Waterloo Rd, Jessup, MD, 21075-6879
Phone Number
410-799-3400
Fax Number
Provider Enumeration Date
06/06/2007
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
7555 Waterloo Rd
City
Jessup
State
Maryland
Zip
20794-9783
Phone Number
410-799-3400
Fax Number
person
Provider Business Mailing Address Details
Address
7555 Waterloo Rd
City
Jessup
State
Maryland
Zip
20794-9783
Phone Number
410-799-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
D0068511 (Maryland)
Definition
Definition to come...
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