Provider Demographics
NPI:1821259102
Name:MOON, CHRISTINA SOYOUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:SOYOUNG
Last Name:MOON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 CIVIC CENTE BLVD
Mailing Address - Street 2:3 WEST PAVILION
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5127
Mailing Address - Country:US
Mailing Address - Phone:215-614-4100
Mailing Address - Fax:215-615-0527
Practice Address - Street 1:3400 CIVIC CENTE BLVD
Practice Address - Street 2:3 WEST PAVILION
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5127
Practice Address - Country:US
Practice Address - Phone:215-614-4100
Practice Address - Fax:215-615-0527
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2018-09-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD443252207W00000X
FLME112343207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology