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NPI Code Detail

MEDICARE: DR. CESAR RENE MOJICA M.D.

MEDICARE: DR. CESAR RENE MOJICA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101255012VA
2390200000XStudent in an Organized Health Care Education/Training Program
3207QS0010XSports Medicine (Family Medicine) Physician0101255012VA

General Provider Information

NPI Number : 1811251051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CESAR RENE MOJICA M.D.
Provider Business Mailing Address
First Line : 2189 ELROD AVE
Second Line :
City : QUANTICO
State : VA
Zip : 22134-5113
Country : US
Telephone Number : 703-432-6260
Fax Number :
Provider Business Practice Location Address
First Line : 2189 ELROD AVE
Second Line :
City : QUANTICO
State : VA
Zip : 22134-5113
Country : US
Telephone Number : 703-432-6260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 09/02/2025

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