Healthcare Provider Details

I. General information

NPI: 1275667347
Provider Name (Legal Business Name): JOHN H MOYE JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 FREDERICK RD
CATONSVILLE MD
21228-5503
US

IV. Provider business mailing address

1810 FREDERICK RD
CATONSVILLE MD
21228-5503
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-7339
  • Fax: 301-496-8678
Mailing address:
  • Phone: 301-496-7339
  • Fax: 301-496-8678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number56387
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD40999
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number56387
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberD40999
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: