SONG YONG MOON

BEL AIR, MD
NPI1740308501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C0003238)
Enumeration Date2007-03-27
Last Update Date2008-02-13
Business Address
Mr. SONG YONG MOON PA-C
500 UPPER CHESAPEAKE DR
BEL AIR, MD 21014-4324
Phone number: 443-643-2000
Mailing Address
Mr. SONG YONG MOON PA-C
8908 LEE MANOR DR
ELLICOTT CITY, MD 21043-7999
Phone number: 443-545-5157
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