Organization
MOONLIGHT PEDIATRICS LLC
Active
Other names
MOONLIT PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QAMAR ZAMAN MD (DIRECTOR)
(216) 778-0808
Entity
Organization
Contact information
Practice address
1 BRONZE POINTE BLVD STE 1A, SWANSEA, IL 62226-1045
(216) 778-0808
Mailing address
866 REVERE DR, SAINT LOUIS, MO 63141-8818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
08/13/2020
Last updated
08/18/2020
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