Kwak, Eunice L
Kwak, Eunice L is an individual health care provider with primary practice located at 55 Fruit St Yaw 7 Hematology/Oncology, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kwak, Eunice L can be contacted via phone (617) 726-6254.Contact Information
Primary practice address
55 Fruit St Yaw 7 Hematology/Oncology
Boston MA 02114-2621
Phone: (617) 726-6254
Fax: (617) 724-6919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 205757 | Massachusetts |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 205757 | Massachusetts |
Profile Details
| NPI number | 1184605479 |
|---|---|
| LBN Legal business name | Kwak, Eunice L |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184605479 | NPPES |
| Massachusetts | Other | J26132 | BCBS OF MA |
| Massachusetts | Other | 205757 | BCBS OF MA |
| Massachusetts | MEDICAID | 2009170 | BCBS OF MA |
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