Individual
JEFFREY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, GROUND RAVDIN, DEPT EMERGENCY MEDICINE, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Mailing address
3400 SPRUCE ST, GROUND RAVDIN, DEPT EMERGENCY MEDICINE, PHILADELPHIA, PA 19104-4238
(215) 662-6698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD454800
PA
Other
Enumeration date
04/27/2012
Last updated
07/21/2015
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