Individual
MOON FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 BEANER HOLLOW RD, BEAVER, PA 15009
(724) 774-0778
Mailing address
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9722
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
110913
GA
207RH0003X
Hematology & Oncology Physician
Primary
436854
PA
207RH0003X
Hematology & Oncology Physician
48818
TN
Other
Enumeration date
07/23/2007
Last updated
04/30/2026
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