# JUNG JOO MOON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083078315
- **Gender:** F
- **Credential:** M.D., M.M.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 70750 | MN | — |
| 208D00000X | General Practice Physician | 76451 | WI | — |
| 208D00000X | General Practice Physician | 90144 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 646517 | TX | — |

## Other

- **Enumeration date:** 04/12/2016
- **Last updated:** 06/16/2026