Doctor Name: | DR. WAYNE A MOCCIA |
NPI Number: | 1205892031 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | ME0031860 |
Business Practice Address: | 8055 Overseas Hwy Marathon, FL - 330503228 |
Business Phone Number: | 3057436299 |
Business Fax Number: | 3057432921 |
Mailing Address: | Po Box 522345, MARATHON |
State: | FL |
Postal Code: | 330522345 |
Phone Number: | 3057436299 |
Fax Number: | 3057432921 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 04/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | ME0031860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |