Individual
JANG I. MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 E 98TH ST, 12TH FL, NEW YORK, NY 10029-6501
(212) 659-9300
(212) 241-2064
Mailing address
1 GUSTAVE L LEVY PL, BOX 1104, NEW YORK, NY 10029-6574
(212) 659-9300
(212) 241-2064
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
263532
NY
208600000X
Surgery Physician
263532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03179137
—
NY
Enumeration date
04/25/2006
Last updated
05/16/2012
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