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Individual
JUNG JOO MOON
Active
Individual
JUNG JOO MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.M.S
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
70750
MN
208D00000X
General Practice Physician
76451
WI
208D00000X
General Practice Physician
Primary
90144
GA
390200000X
Student in an Organized Health Care Education/Training Program
646517
TX
Other
Enumeration date
04/12/2016
Last updated
06/16/2026
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