Individual
DR. MARIANNE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 DIVISADERO ST, C250, BOX 1667, SAN FRANCISCO, CA 94115-3010
(203) 885-7464
(203) 885-7465
Mailing address
1600 DIVISADERO ST, C250, BOX 1667, SAN FRANCISCO, CA 94115-3010
(203) 885-7464
(203) 885-7465
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A110739
CA
Other
Enumeration date
10/02/2008
Last updated
02/11/2022
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