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NPI Code Detail

MEDICARE: MOTSUMI MOJA MD

MEDICARE: MOTSUMI MOJA MD
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
1207R00000XInternal Medicine Physician0101045151VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00224524OTHERVARAILROAD MEDICARE

General Provider Information

NPI Number : 1215915566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOTSUMI MOJA MD
Provider Business Mailing Address
First Line : HIGHWAY 15 SOUTH
Second Line :
City : NEW CANTON
State : VA
Zip : 23123
Country : US
Telephone Number : 434-581-3271
Fax Number : 434-581-1105
Provider Business Practice Location Address
First Line : 301 HALIFAX ST
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-6335
Country : US
Telephone Number : 804-863-1652
Fax Number : 804-957-5850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 10/31/2013

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Directions to “ MOTSUMI MOJA MD” Practice Location

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