Kwak, James J

Kwak, James J is an sole proprietor health care provider with primary practice located at 2301 Evesham Road Suite 505, Voorhees NJ 08043-4507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kwak, James J can be contacted via phone (856) 520-8718.

Contact Information

Primary practice address
2301 Evesham Road Suite 505 Voorhees NJ 08043-4507
Phone: (856) 520-8718
Fax: (856) 520-8719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB05949300 New Jersey

Profile Details

NPI number 1578552865
LBN Legal business name Kwak, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Feb 28th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578552865 NPPES
New Jersey MEDICAID 0040321

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