Dr. Robert Charles Moen
Pediatrician Allergist & Immunologist
16830 Knolls Way
Chagrin Falls
, Ohio 44023-4556
Dr. Robert Charles Moen
Pediatrician Allergist & Immunologist
16830 Knolls Way
Chagrin Falls
, Ohio 44023-4556
(216) 534-6164
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About
Features
Specialties
- Allergist & Immunologist
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Robert Charles Moen
- 16830 Knolls Way
- Chagrin Falls, OH
- Zip : 44023-4556
- Phone : (216) 534-6164
Second Address
- Dr. Robert Charles Moen
- 16830 Knolls Way
- Chagrin Falls, OH
- Zip : 44023-4556
- Phone : (216) 534-6164
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | D0040846 | MD |
| N | 208000000X | Pediatrician | D0040846 | MD |
National Provider Identifier
| NPI | 1194007112 |
|---|---|
| Provider Name | Dr. Robert Charles Moen |
| First Address | Chagrin Falls, OH 44023-4556 |
| Second Address | Chagrin Falls, OH 44023-4556 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2011 |
| Last Update Date | 15/09/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.