Moon, Kyoung

Moon, Kyoung is an individual health care provider with primary practice located at 201 Lyons Ave , Newark NJ 07112-2027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Moon, Kyoung can be contacted via phone (201) 943-0034.

Contact Information

Primary practice address
201 Lyons Ave Newark NJ 07112-2027
Phone: (201) 943-0034
Fax: (201) 943-8105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA03401700 New Jersey

Profile Details

NPI number 1447220058
LBN Legal business name Moon, Kyoung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 31st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447220058 NPPES
New Jersey MEDICAID 4837703
New Jersey Other D92539

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