Individual provider · Type 1 NPI

Matthew Moon

Diagnostic Radiology Physician · Baltimore, MD

NPI number 1063702603 Active

Practice location

601 N Caroline St
Baltimore, MD 21287-0006

Mailing address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XC1-0010155 (DE)
Diagnostic Radiology Physician Primary 2085R0202XD81267 (MD)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1063702603

Matthew Moon's National Provider Identifier is 1063702603, issued on Apr 16, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Baltimore, MD. The record was last updated on Aug 9, 2017.