Individual
SANGHO MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
60 LARKSPUR RD, STAMFORD, CT 06903-3419
(203) 851-3355
Mailing address
60 LARKSPUR RD, STAMFORD, CT 06903-3419
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
189019
CT
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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