Individual
DR. WOO MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 NORTH 13TH STREET, NEWARK, NJ 07107-1397
(973) 268-1400
Mailing address
66 WEST GILBERT STREET, SUITE 100, RED BANK, NJ 07701-4918
(732) 212-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07436600
NJ
207R00000X
Internal Medicine Physician
25MA07436600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040312
—
NJ
05
—
0040313
—
NJ
Enumeration date
09/09/2005
Last updated
02/22/2008
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