Dr. Keun Soo Kwon, MD
Student in an Organized Health Care Education/Training Program in Verona, New Jersey
1174226104- Practice location
- 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374
- Phone
- 973-746-7050
- Fax
- —
- Last updated
- March 27, 2023
Keun Soo Kwon is a Student in an Organized Health Care Education/Training Program based in Verona, NJ. Keun Soo Kwon practices in Verona, NJ and has the professional credentials of MD. The NPI Number for Keun Soo Kwon is 1174226104. The current practice location address for Keun Soo Kwon is 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374 and can be reached out via phone at 973-746-7050.
Provider Profile Details
- NPI Number
- 1174226104
- Provider Name
- Keun Soo Kwon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374
- Phone Number
- 973-746-7050
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 27, 2023
- Last Update Date
- March 27, 2023
- Certification Date
- March 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 799 Bloomfield Ave Ste 201
Verona, NJ 07044-1374 - City
- Verona
- State
- New Jersey
- Zip
- 07044-1374
- Phone Number
- 973-746-7050
Provider Business Mailing Address Details
- Address
- 799 Bloomfield Ave Ste 201
Verona, NJ 07044-1374 - City
- Verona
- State
- NJ
- Zip
- 07044-1374
- Phone Number
- 973-746-7050
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Keun Soo Kwon, MD?
The NPI number of Dr. Keun Soo Kwon, MD is 1174226104. It was assigned on March 27, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Keun Soo Kwon, MD?
Dr. Keun Soo Kwon, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Dr. Keun Soo Kwon, MD practice?
The practice location is 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374. The office can be reached at 973-746-7050 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174226104 directly on the NPPES registry website.