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Individual
MR. MARVIN A MOQUIN JR.
Active
Individual
MR. MARVIN A MOQUIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA000503L
PA
363AM0700X
Medical Physician Assistant
MA000503L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0991138
KEYSTONE CENTRAL
PA
05
—
103146244
—
PA
01
—
20045771
AMERIHEALTH MERCY
PA
01
—
50043522
CAPITAL BLUE CROSS
PA
01
—
P00200525
RAILROAD MEDICARE
PA
Enumeration date
05/11/2006
Last updated
01/26/2021
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