Individual provider · Type 1 NPI

Song Yong Moon, PA-C

Medical Physician Assistant · Bel Air, MD

NPI number 1740308501 Active

Practice location

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Call (443) 643-2000 Map

Mailing address

8908 Lee Manor Dr
Ellicott City, MD 21043-7999

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0003238 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1740308501

Song Yong Moon, PA-C's National Provider Identifier is 1740308501, issued on Mar 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bel Air, MD. The record was last updated on Feb 13, 2008.