Moniz, Mark Phillip

Moniz, Mark Phillip is an individual health care provider with primary practice located at 120 Kings Way Ste 2600 , Williamsburg VA 23185-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moniz, Mark Phillip can be contacted via phone (757) 345-0141.

Contact Information

Primary practice address
120 Kings Way Ste 2600 Williamsburg VA 23185-2554
Phone: (757) 345-0141
Fax: (757) 206-1291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101058407 Virginia

Profile Details

NPI number 1528067014
LBN Legal business name Moniz, Mark Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 3rd, 2021 - about 5 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 1528067014 NPPES
Virginia MEDICAID 007311885

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