Moonah INC

NPI #1043027964 in West Hartford, Connecticut

Provider Information

NPI Number
1043027964
Entity Type
Organization
Organization Name
Moonah INC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Dec 13, 2024
Last Updated
Feb 10, 2025

Practice Location

Address
82 GRISWOLD DR
ZIP Code
06119-3549
Phone
(302) 267-4679

Authorized Official

Name
LUKE A KIST
Title
CO -FOUNDER
Phone
(251) 223-2212

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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