Individual
DR. ROBERT CHARLES MOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
16830 KNOLLS WAY, CHAGRIN FALLS, OH 44023-4556
(216) 534-6164
Mailing address
16830 KNOLLS WAY, CHAGRIN FALLS, OH 44023-4556
(216) 534-6164
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0040846
MD
208000000X
Pediatrics Physician
D0040846
MD
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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