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Dr. Matthew J Moynihan, MD
Urology Physician in Fairfax, Virginia
NPI 1063893717

Matthew J Moynihan is a Urology Physician based in Baltimore, VA. Matthew J Moynihan practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Matthew J Moynihan is 1063893717 and holds a License No. 264407 (Virginia).

The current practice location address for Matthew J Moynihan is 8081 Innovation Park Dr Ste 500, Fairfax, VA and can be reached out via phone at 571-472-7040 and via fax at 571-472-7041.

Location: 8081 Innovation Park Dr Ste 500, Fairfax, VA, 21297-3174
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063893717
Provider Name
Matthew J Moynihan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8081 Innovation Park Dr Ste 500, Fairfax, VA, 21297-3174
Phone Number
571-472-7040
Fax Number
571-472-7041
Provider Enumeration Date
06/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8081 Innovation Park Dr Ste 500
City
Fairfax
State
Virginia
Zip
22031-4867
Phone Number
571-472-7040
Fax Number
571-472-7041
person
Provider Business Mailing Address Details
Address
8081 Innovation Park Dr Ste 500
City
Fairfax
State
Virginia
Zip
22031-4867
Phone Number
571-472-7040
Fax Number
571-472-7041
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
0101271565 (Virginia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
264407 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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