Individual
DR. MATTHEW J MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8081 INNOVATION PARK DR STE 500, FAIRFAX, VA 22031-4867
(571) 472-7040
(571) 472-7041
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101271565
VA
390200000X
Student in an Organized Health Care Education/Training Program
264407
MA
Other
Enumeration date
06/17/2015
Last updated
09/01/2021
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