Suh, Moon Ja
Suh, Moon Ja is an sole proprietor health care provider with primary practice located at 2929 Garrett Rd , Drexel Hill PA 19026-2229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Suh, Moon Ja can be contacted via phone (610) 626-3444.Contact Information
Primary practice address
2929 Garrett Rd
Drexel Hill PA 19026-2229
Phone: (610) 626-3444
Fax: (610) 626-4421
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD041855E | Pennsylvania |
Profile Details
NPI number | 1154354983 |
---|---|
LBN Legal business name | Suh, Moon Ja |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2006 |
Last updated | Nov 13th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154354983 | NPPES |
Pennsylvania | Other | 0017848-6002 | UNITED HEALTH PROVIDER |
Pennsylvania | Other | P815031 | UNITED HEALTH PROVIDER |
Pennsylvania | Other | E41619 | UNITED HEALTH PROVIDER |
Pennsylvania | MEDICAID | 0019091620003 | UNITED HEALTH PROVIDER |
Pennsylvania | Other | 0190916201 | UNITED HEALTH PROVIDER |
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