Organization
HUDSON TERRACE MEDICAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAEWON MOON M.D. (DIRECTOR)
(201) 503-0066
Entity
Organization
Contact information
Practice address
464 HUDSON TERRACE, SUITE #102, ENGLEWOOD CLIFFS, NJ 07632-2917
(201) 503-0066
(201) 503-0190
Mailing address
464 HUDSON TERRACE, SUITE #102, ENGLEWOOD CLIFFS, NJ 07632-2917
(201) 503-0066
(201) 503-0190
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25MA05670900
NJ
Other
Enumeration date
12/20/2006
Last updated
07/23/2014
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