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NPI Code Detail

MEDICARE: DR. AMIR R MOINFAR MD

MEDICARE: DR. AMIR R MOINFAR MD
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
1207X00000XOrthopaedic Surgery PhysicianD0062913MD

General Provider Information

NPI Number : 1043292279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMIR R MOINFAR MD
Provider Business Mailing Address
First Line : 1413 MADISON PARK DR FL 2
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5613
Country : US
Telephone Number : 410-691-3571
Fax Number : 410-691-3591
Provider Business Practice Location Address
First Line : 1413 MADISON PARK DR FL 2
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5613
Country : US
Telephone Number : 410-691-3571
Fax Number : 410-691-3591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 04/25/2023

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Directions to “ DR. AMIR R MOINFAR MD” Practice Location

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