Benjamin Jon Moreno in Fort Wayne - Vascular & Interventional Radiology
Benjamin Jon Moreno - NPI 1013163526
Benjamin Jon Moreno is a Vascular & Interventional Radiology in Fort Wayne, Indiana. Benjamin Jon Moreno practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Benjamin Jon Moreno is 1013163526. The last update date is 2021-03-05.
Benjamin Jon Moreno's current location address is 3707 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604696602 and fax number 2604845919. The mailing address for Benjamin Jon Moreno is 3707 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Jon Moreno |
|---|---|
| Address | 3707 New Vision Dr, Fort Wayne, Indiana |
| Phone Number | 2604696602 |
| Fax Number | 2604845919 |
| Sole Proprietor | N |
| Credentials | MD, PHD |
NPI Number Detail
| NPI Number | 1013163526 |
|---|---|
| Provider Enumeration Date | 2008-08-15 |
| Last Updated Date | 2021-03-05 |
Provider Mailing Address Detail
| Address | 3707 New Vision Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451702 |
| Phone Number | 2604696602 |
| Fax Number | 2604845919 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 1070072 |
|
Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201028590 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Benjamin Jon Moreno?
The Benjamin Jon Moreno has been issued the NPI (National Provider Identifier) 1013163526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Benjamin Jon Moreno is geographically located?
The Benjamin Jon Moreno is physically situated at the following location: 3707 New Vision Dr, Fort Wayne, IN, 468451702.
What is the Benjamin Jon Moreno's specialty and taxonomy code?
The Benjamin Jon Moreno's specialty is Vascular & Interventional Radiology, and the corresponding taxonomy code is 2085R0204X.
When was the Benjamin Jon Moreno's 1013163526 issued?
The Benjamin Jon Moreno's 1013163526 was issued on 2008-08-15.
When was the information pertaining to Benjamin Jon Moreno most recently updated or revised?
The details related to Benjamin Jon Moreno, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-05.