Individual
SAEMYI MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(213) 505-5460
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6405
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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