Matthew Moon

NPI 1063702603

Information of Matthew Moon

The NPI 1063702603 is an Individual type. NPI No 1063702603 belongs to Matthew Moon. Matthew Moon specializes in Diagnostic Radiology. He is practising at 601 N Caroline St, Baltimore, Maryland 21287. You can also contact him via phone number (410) 955-9446.

Practice address located

  • 601 N Caroline St
  • Baltimore, Maryland 21287
  • (410) 955-9446
  • (410) 955-9446

Mailling address located

  • 4755 Ogletown Stanton Rd
  • Newark, Delaware 19718
  • Not available
  • Not available
Matthew Moon is PECOS enrolled.
NPI No 1063702603
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes2085R0202XDiagnostic RadiologyD81267Maryland
No2085R0202XDiagnostic RadiologyC1-0010155Delaware
Identifier for this provider
StateIdentifierTypeIssuer
MD108076800Medicaidn/a
Similar NPIs No