DR. Benjamin Jon Moreno, MD, PHD
NPI #1013163526 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1013163526
- Entity Type
- Individual
- Name
- DR. Benjamin Jon Moreno, MD, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- MD, PHD
- Enumeration Date
- Aug 15, 2008
- Last Updated
- Mar 5, 2021
Practice Location
- Address
- 3707 NEW VISION DR STE 110
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-1702
- Phone
- (260) 469-6602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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