Moya, Mario

Moya, Mario is an individual health care provider with primary practice located at 647 Malin Rd , Newtown Square PA 19073-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Moya, Mario can be contacted via phone (610) 908-2995.

Contact Information

Primary practice address
647 Malin Rd Newtown Square PA 19073-2621
Phone: (610) 908-2995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD048581L Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD048581L Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00048471 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA06785000 New Jersey
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X P3778 Texas

Profile Details

NPI number 1962470740
LBN Legal business name Moya, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962470740 NPPES
New Jersey MEDICAID 6895808
New Jersey Other P00391336

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