Benjamin J. Moreno, MD, PHD
Diagnostic Radiology · Fort Wayne, IN
UnclaimedMD, PHDNPI 1013163526
- Primary taxonomy
- 2085R0202X
- Enumerated
- 2008-08-15
- Practice location
- Fort Wayne, IN
- Last NPPES update
- 2021-03-05
State licenses
- IN · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.