Individual
MOON JEONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 WALNUT ST STE 1110, PHILADELPHIA, PA 19107-5109
(215) 928-3197
(215) 928-0166
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 955-5000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD484290
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
D0104769
MD
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD484290
PA
Other
Enumeration date
12/24/2016
Last updated
09/03/2025
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