Moynihan, John J.

Moynihan, John J. is an individual health care provider with primary practice located at 3620 Joseph Siewick Dr Suite 406, Fairfax VA 22033-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moynihan, John J. can be contacted via phone (703) 359-8640.

Contact Information

Primary practice address
3620 Joseph Siewick Dr Suite 406 Fairfax VA 22033-1756
Phone: (703) 359-8640
Fax: (703) 591-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101033952 Virginia

Profile Details

NPI number 1932195914
LBN Legal business name Moynihan, John J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Nov 27th, 2023 - about 2 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 1932195914 NPPES
Virginia MEDICAID 7374101

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