Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Amanda Theresa Moon, MD

Individual provider Dermatology Physician · NPI 1144541186

Dr. Amanda Theresa Moon, MD is a Dermatology Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

219 N Broad St 4th Fl
Philadelphia, PA 19107-1519
Phone: (215) 762-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD013064E (PA)

Record details

NPI number1144541186
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2010
Last updated in NPPESSeptember 13, 2016

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