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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BENJAMIN JON MORENO, MD, PHD

Active

DR. BENJAMIN JON MORENO, MD, PHD is a Diagnostic Radiology healthcare provider located in FORT WAYNE, Indiana. NPI 1013163526 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · FORT WAYNE, IN

Registration Details

NPI Number
1013163526
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2008 (17.972824465149 yrs)
Last Updated
Mar 5, 2021
Licenses
01070072 (IN)
01070072 (IN)

Practice Information

Address
3707 NEW VISION DR STE 110
FORT WAYNE, IN, 468451702
Browse IN providers · Browse ZIP 46845
Phone
2604696602
Fax
2604845919
Primary Specialty
Diagnostic Radiology
2085R0202X
Additional Specialty
Diagnostic Radiology

Other Diagnostic Radiology Providers in FORT WAYNE, IN

Name Credential NPI
DR. RICHARD B COLLINS DO 1447250188
JOHN FRANCIS ALEXANDER MD 1558354753
CHRISTIAN M FISHER M.D. 1215920079
BENJAMIN Y CHEN MD 1801878616
ROBERT A. CONNER M.D. 1710969258
EDWARD CHAS WEBER DO 1245213248
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.