Individual
JOHN J. MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 22033-1756
(703) 359-8640
(703) 591-6105
Mailing address
3620 JOSEPH SIEWICK DR, SUITE 406, FAIRFAX, VA 22033-1756
(703) 359-8640
(703) 591-6105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101033952
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7374101
—
VA
Enumeration date
09/23/2005
Last updated
11/27/2023
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