Active NPIIndividual provider

Dr. Eun J Kwon, MD

Dermatology, Dermatopathology in Lexington, Massachusetts

NPI Number1780885491
Practice location
1 Cranberry Hl Ste 105, Lexington, MA 02421-7397
Fax
205-579-9387
Last updated
September 6, 2024

Eun Ji Kwon is a Dermatology, Dermatopathology based in Lexington, MA. Eun Ji Kwon practices in Lexington, MA and has the professional credentials of MD. The NPI Number for Eun Ji Kwon is 1780885491 and holds a License No. 69371 (TN). The current practice location address for Eun Ji Kwon is 1 Cranberry Hl Ste 105, Lexington, MA 02421-7397 and can be reached out via phone at 800-325-7284 and via fax at 205-579-9387.

Provider Profile Details

NPI Number
1780885491
Provider Name
Eun Ji Kwon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Cranberry Hl Ste 105, Lexington, MA 02421-7397
Phone Number
800-325-7284
Fax Number
205-579-9387
Primary Taxonomy
Dermatology, Dermatopathology · 207ND0900X
Sole Proprietor
No
Other Names
Eunji Kwon (Former Name)
Provider Enumeration Date
May 30, 2007
Last Update Date
September 6, 2024
Certification Date
September 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Cranberry Hl Ste 105
Lexington, MA 02421-7397
Zip
02421-7397
Phone Number
800-325-7284
Fax Number
205-579-9387
Lexington, MA 02421Get directions →

Provider Business Mailing Address Details

Address
1 Cranberry Hl Ste 105
Lexington, MA 02421-7397
City
Lexington
State
MA
Zip
02421-7397
Phone Number
800-325-7284
Fax Number
205-579-9387

License Information

License Number (1)
69371
License State (1)
TN
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
251783
License State (2)
NY
Taxonomy (2)
Dermatology · 207N00000X
License Number (3)
1017784
License State (3)
MA
Taxonomy (3)
Dermatology · 207N00000X
License Number (4)
251783
License State (4)
NY
Taxonomy (4)
Dermatology, Dermatopathology · 207ND0900X
License Number (5)
69371
License State (5)
TN
Taxonomy (5)
Dermatology, Dermatopathology · 207ND0900X
License Number (6)
1017784
License State (6)
MA
Taxonomy (6)
Dermatology, Dermatopathology · 207ND0900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Eun J Kwon, MD?

The NPI number of Dr. Eun J Kwon, MD is 1780885491. It was assigned on May 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Eun J Kwon, MD?

Dr. Eun J Kwon, MD is registered under the primary taxonomy Dermatology, Dermatopathology (code 207ND0900X), licensed in TN under license number 69371.

Where does Dr. Eun J Kwon, MD practice?

The practice location is 1 Cranberry Hl Ste 105, Lexington, MA 02421-7397. The office can be reached at 800-325-7284 (phone) or 205-579-9387 (fax).

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 1780885491 directly on the NPPES registry website.

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