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
Fax: (610) 626-4421
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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