Brian Kwon, Md Pc

LBN: Brian Kwon, Md Pc
Brian Kwon, Md Pc is an health care organization with primary practice located at 125 Parker Hill Ave Converse 4, Roxbury Crossing MA 02120-2847. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty. Brian Kwon, Md Pc can be contacted via phone (617) 754-6586, or through Kwon, Brian via phone (617) 754-6486.

Contact Information

Primary practice address
125 Parker Hill Ave Converse 4 Roxbury Crossing MA 02120-2847
Fax: (617) 754-5593
Website:
Authorized official contact:
Name: Kwon, Brian Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 216761 Massachusetts

Profile Details

NPI number 1558359190
LBN Legal business name Brian Kwon, Md Pc
DBA Doing business as
Authorized official Kwon, Brian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2005
Last updated Oct 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558359190 NPPES
Massachusetts Other M18822 BCBS MA
Massachusetts Other 470668 BCBS MA
Massachusetts Other AA16221 BCBS MA
Massachusetts MEDICAID 9733370 BCBS MA

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