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Organization
YOUNGSIK MOON, M.D., P.A.
Active
Organization
YOUNGSIK MOON, M.D., P.A.
Active
Other names
Hollywood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY ANN QUADE (BUSINESS MANAGER)
(301) 373-2116
Entity
Organization
Contact information
Practice address
24435 MERVELL DEAN RD, HOLLYWOOD, MD 20636-2712
(301) 373-2116
(301) 373-5281
Mailing address
24435 MERVELL DEAN RD, PO BOX 37, HOLLYWOOD, MD 20636-2712
(301) 373-2116
(301) 373-5281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
D09178
MD
208D00000X
General Practice Physician
D09178
MD
Other
Enumeration date
05/17/2007
Last updated
03/24/2011
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