National Provider Identifier

Saemyi Moon

Saemyi Moon is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (213) 505-5460.

NPI 1730600446Boston, MAPhysician Assistant

Source: public NPPES record, last updated July 21, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1730600446
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 03, 2017
Last Updated
July 21, 2022

Practice Location

  • 55 Fruit St
  • Boston, MA 02114-2621

Phone: (213) 505-5460

Mailing Address

  • 75 Francis St
  • Boston, MA 02115-6110

Specialties

  • Physician Assistant (363A00000X)

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Biography

Saemyi Moon is a Boston-based physician assistant. Public professional profile information notes prior work with West Los Angeles VA Medical Center in interventional radiology and physician assistant training at Boston University School of Medicine.

Full Record
NPI
1730600446
Entity Type
Individual
Last Name
Moon
First Name
Saemyi
Mailing Street Address
75 Francis St
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02115-6110
Mailing Country
US
Mailing Phone
(617) 732-5500
Practice Street Address
55 Fruit St
Practice City
Boston
Practice State
MA
Practice ZIP Code
02114-2621
Practice Country
US
Practice Phone
(213) 505-5460
Enumeration Date
July 03, 2017
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
Certification Date
March 10, 2020
Taxonomies
Physician Assistant (363A00000X)