Moon, Soojin Victoria

Moon, Soojin Victoria is an individual health care provider with primary practice located at 119 Broad Ave , Palisades Park NJ 07650. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Moon, Soojin Victoria can be contacted via phone (201) 592-0735.

Contact Information

Primary practice address
119 Broad Ave Palisades Park NJ 07650
Phone: (201) 592-0735
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI03679700 New Jersey
Pharmacy Service Providers / Pharmacist 183500000X 054602 New York

Profile Details

NPI number 1588963466
LBN Legal business name Moon, Soojin Victoria
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Oct 21st, 2022 - about 2 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 1588963466 NPPES
New York MEDICAID 01612037

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