Individual
RICHARD HYUNG SUNG MOON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 NEVINS ST, BRIGHTON, MA 02135-3514
(617) 789-2045
(617) 789-2932
Mailing address
11 NEVINS ST, SUITE 306, BRIGHTON, MA 02135-3514
(617) 789-2045
(617) 789-2932
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
34377
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125601
—
MA
Enumeration date
09/13/2005
Last updated
07/08/2007
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