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NPI Code Detail

MEDICARE: WHITNEY MORGEN GREEN MOOMAW MD

MEDICARE: WHITNEY MORGEN GREEN MOOMAW 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35128363OH
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD86975MD

General Provider Information

NPI Number : 1477882363
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY MORGEN GREEN MOOMAW MD
Provider Business Mailing Address
First Line : 410 W 10TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1240
Country : US
Telephone Number : 614-293-5905
Fax Number :
Provider Business Practice Location Address
First Line : 301 HOSPITAL DR
Second Line :
City : GLEN BURNIE
State : MD
Zip : 21061-5803
Country : US
Telephone Number : 410-787-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2009
Last Update Date : 02/09/2026

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Directions to “ WHITNEY MORGEN GREEN MOOMAW MD” Practice Location

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