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1144541186
AMANDA THERESA MOON
PHILADELPHIA, PA
NPI
1144541186
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Former Name
AMANDA THERESA CAROLFI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: PA MD013064E)
Enumeration Date
2010-06-14
Last Update Date
2016-09-13
Business Address
Dr. AMANDA THERESA MOON M.D.
219 N BROAD ST 4TH FLOOR
PHILADELPHIA, PA 19107-1519
Phone number: 215-762-5550
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Mailing Address
Dr. AMANDA THERESA MOON M.D.
1601 CHERRY ST SUITE 11511
PHILADELPHIA, PA 19102-1320
Phone number: 215-255-7822
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