Moon, Richard Hyung Sung

Moon, Richard Hyung Sung is an individual health care provider with primary practice located at 11 Nevins St , Brighton MA 02135-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Moon, Richard Hyung Sung can be contacted via phone (617) 789-2045.

Contact Information

Primary practice address
11 Nevins St Brighton MA 02135-3514
Fax: (617) 789-2932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 34377 Massachusetts

Profile Details

NPI number 1356336762
LBN Legal business name Moon, Richard Hyung Sung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 18 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 1356336762 NPPES
Massachusetts MEDICAID 0125601

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