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Individual

DR. STEVEN JUDSON MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1501 N BROAD ST STE 7, PHILADELPHIA, PA 19122-3319
(215) 866-1742
(215) 866-1759
Mailing address
1501 N BROAD ST STE 7, PHILADELPHIA, PA 19122-3319
(215) 866-1742
(215) 866-1759

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003553
PA

Other

Enumeration date
06/10/2019
Last updated
06/29/2019
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