YOUNGSIK MOON M.D. P.A. NPI 1831203215

NPI Information

YOUNGSIK MOON, M.D., P.A. is an ambulatory surgical clinic center in Hollywood, MD. YOUNGSIK MOON, M.D., P.A. NPI is 1831203215. The provider is registered as an organization entity type.
The provider Is Doing Business As Hollywood Ambulatory Surgery Center.

The provider's business location address is:

24435 MERVELL DEAN RD
HOLLYWOOD, MD
ZIP 20636-712
Phone: (301) 373-2116
Fax: (301) 373-5281

The provider's authorized official is Betty Ann Quade .
The authorized official title is Business Manager and has the following contact phone number (301) 373-2116.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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