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Organization
MARIO MOYA MD PA
Active
Organization
MARIO MOYA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO MOYA MD (CEO)
(610) 908-2995
Entity
Organization
Contact information
Practice address
647 MALIN RD, NEWTOWN SQUARE, PA 19073-2621
(610) 908-2995
(215) 240-1677
Mailing address
647 MALIN RD, NEWTOWN SQUARE, PA 19073-2621
(610) 908-2995
(215) 240-1677
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/17/2014
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