JONATHAN DANIEL MOZENA M.D.
Allergy and Immunology
Fredericksburg, Virginia
Provider NPI: 1093757163
Provider Information:JONATHAN DANIEL MOZENA M.D.
Practice Location:
511 PARK HILL DRIVE FREDERICKSBURG, VA 22401 US
Tel: 540-371-5660 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | VA | 0101239028 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CARE FIRST | J063-0005 | VA | 01 |
| CIGNA | 1303985 | VA | 01 |
| BLUE CROSS | 302397 | VA | 01 |
| SOUTHERN HEALTH | 1093757163 | VA | 01 |
| 1093757163 | VA | 05 | |
| ANTHEM BLUE CROSS | 1093757163 | VA | 01 |
| AETNA | 1689635 | VA | 01 |
| VIRGINIA PREMIER | 1093757163 | VA | 01 |
| VIRGINIA HEALTH NETWORK | 561249571 | VA | 01 |
| MEDICARE PTAN | 014630A38 | VA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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