Sung H Moon in Brockton - Surgery

Sung H Moon - NPI 1346221769

Sung H Moon is a Surgery in Brockton, Massachusetts. Sung H Moon practices all healthcare services and medical treatments related to Surgery. The NPI Number for Sung H Moon is 1346221769. The last update date is 2013-09-20.

Sung H Moon's current location address is 110 Liberty St, Brockton, Massachusetts. You can contact this provider via phone number 5088940400 and fax number 5085650157. The mailing address for Sung H Moon is 110 Liberty St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sung H Moon
Address 110 Liberty St, Brockton, Massachusetts
Phone Number 5088940400
Fax Number 5085650157
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1346221769
Provider Enumeration Date 2005-11-11
Last Updated Date 2013-09-20

Provider Mailing Address Detail

Address 110 Liberty St
City Brockton
State Massachusetts (MA)
Post Code 23015521
Phone Number 5088940400
Fax Number 5085650157

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 205702
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102105 MA --

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FAQs about Sung H Moon

What is the Sung H Moon's 1346221769?

The Sung H Moon's NPI (National Provider Identifier) Number is 1346221769. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Sung H Moon's facilities are geographically located?

The facilities of Sung H Moon are physically situated at the following location: 110 Liberty St, Brockton, MA, 23015521.

What is the Sung H Moon's specialty and taxonomy code?

The Sung H Moon's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

On what date did the Sung H Moon receive its 1346221769 assignment from the Centers for Medicare & Medicaid Services?

The Sung H Moon was assigned its 1346221769 by the Centers for Medicare & Medicaid Services on 2005-11-11.

As of what date was the information regarding Sung H Moon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Sung H Moon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-09-20.

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