Moon, Chang Won

Moon, Chang Won is an individual health care provider with primary practice located at B Co 168 Med Bn , Apo AP 96205. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Moon, Chang Won can be contacted via phone (315) 741-6650.

Contact Information

Primary practice address
B Co 168 Med Bn Apo AP 96205
Phone: (315) 741-6650
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 193368 New York

Profile Details

NPI number 1053479964
LBN Legal business name Moon, Chang Won
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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