NPI 1043027964
Moonah INC
Practice location
- Address
- 82 Griswold Dr, West Hartford, CT 06119-3549
- Phone
- (302) 267-4679
- Mailing address
- 82 Griswold Dr, West Hartford, CT 06119-1146
Authorised official
- Name
- Luke a Kist
- Title
- Co -Founder
- Phone
- (251) 223-2212
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1043027964
- Entity type
- Organization
- NPI issued
- 13 Dec 2024
- Record last updated
- 10 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.