MEDICARE: DR. RAYMOND MOY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0039462	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	5749822004	OTHER	CIGNA
2	9981	OTHER	KAISER
3	52295301	OTHER	CAREFIRST MARYLAND
4	5329700	OTHER	AETNA PPO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	039585	OTHER	JOHNS HOPKINS HEATLHCARE
7	1765049	OTHER	UNITED HEALTHCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	2105540	OTHER	AETNA HMO
10	708979	OTHER	NCPPO
11	0017	OTHER	CAREFIRST DC
12	281968	OTHER	MAMSI
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003849290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND MOY M.D.

Provider Business Mailing Address
First Line	:	1829 REISTERSTOWN RD
Second Line	:	SUITE 205
City	:	BALTIMORE
State	:	MD
Zip	:	21208-6320
Country	:	US
Telephone Number	:	410-602-9850
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 GREENMEADOW DR
Second Line	:	SUITE G105
City	:	TIMONIUM
State	:	MD
Zip	:	21093-3200
Country	:	US
Telephone Number	:	410-561-5773
Fax Number	:	410-560-2327

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	02/22/2012

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Directions to “ DR. RAYMOND MOY M.D.” Practice Location

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