Moncada, Armando J

Moncada, Armando J is an sole proprietor health care provider with primary practice located at 85 Herrick St , Beverly MA 01915-1790. He recently has 4 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Moncada, Armando J can be contacted via phone (978) 922-3000.

Contact Information

Primary practice address
85 Herrick St Beverly MA 01915-1790
Phone: (978) 922-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 053337 Georgia
Other Service Providers / Specialist 174400000X H9386 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 053337 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 53337 Massachusetts
Other Service Providers / Specialist 174400000X ME89563 Florida
Other Service Providers / Specialist 174400000X MD07816R Louisiana

Profile Details

NPI number 1639246366
LBN Legal business name Moncada, Armando J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jun 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639246366 NPPES
Georgia Other 053337 LICENSE
Georgia MEDICAID 383070886 LICENSE

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