# HUDSON TERRACE MEDICAL, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518021039
- **Authorized official:** DR. TAEWON MOON M.D. (DIRECTOR)
- **Authorized official phone:** (201) 503-0066

## Contact information

- **Practice address:** 464 HUDSON TERRACE, SUITE \#102, ENGLEWOOD CLIFFS, NJ 07632-2917
- **Practice address phone:** (201) 503-0066
- **Practice address fax:** (201) 503-0190
- **Mailing address:** 464 HUDSON TERRACE, SUITE \#102, ENGLEWOOD CLIFFS, NJ 07632-2917
- **Mailing address phone:** (201) 503-0066
- **Mailing address fax:** (201) 503-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 25MA05670900 | NJ | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 07/23/2014